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DR. ANTHONY DAVID HERNANDEZ MD
NPI 1780208538
Family Medicine in Atlantis, FL

Active since June 07, 2020PECOS EnrolledAccepts Medicare Assignment
5301 S CONGRESS AVE, ATLANTIS, FL 33462(877) 832-2652(800) 792-9021 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, Jun 7, 2020 (2 updates tracked since 2020).

About Dr. Anthony David Hernandez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY DAVID HERNANDEZ MD (NPI 1780208538) is an individual family medicine provider in Atlantis, Florida, licensed in Florida (ME157748) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Belle Glade.

NPPES Registry Identity

NPI1780208538
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTHONY DAVID HERNANDEZCredential: MD
Location Address5301 S CONGRESS AVEAtlantis, FL 33462-1149
Mailing Address22171 Clocktower WayBoca Raton, FL 33428-4640
Phone(877) 832-2652
Fax(800) 792-9021
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 7, 2020
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1780208538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME157748
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN31036 (FL)
5301 S CONGRESS AVE, Atlantis, FL 33462
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Secondary Practice Location 1

Location 139200 Hooker HwyBelle Glade, FL 33430-5368 · Phone (561) 996-6571

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony David Hernandez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628435070
PECOS Enrollment IDI20230531001342
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
372 services356 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
181 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
165 services91 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
111 services109 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
91 services88 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
84 services79 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH J CATALINA CRNA
Nurse Anesthetist, Certified Registered
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 965-7300
JERRY M CAJINA DO
Emergency Medicine
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (954) 838-2588
VICTORIA LORD MD
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE, 3 SOUTH
ATLANTIS, FL 33462
Palm Beach County (561) 548-1711
ABDULKADIR KIRIS
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 913-5740
MICHAEL J COHEN MD
Radiology (Diagnostic Radiology)
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 548-3727
SUSAN HANSON-LEAL MD
General Acute Care Hospital
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 548-1750
JOHN FRANCISCO MARTINEZ JIMENEZ MD
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 850-6366
ARIELLE WASHINGTON M.D., M.B.A.
Student in an Organized Health Care Education/Training Program
5301 S CONGRESS AVE
ATLANTIS, FL 33462
Palm Beach County (561) 850-6366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Hernandez's NPI number?

The NPI number for Anthony Hernandez is 1780208538. It was assigned to this individual provider in the NPPES registry on June 7, 2020.

Where is Anthony Hernandez located?

Anthony Hernandez practices at 5301 S Congress Ave, Atlantis, FL 33462. The listed phone number is (877) 832-2652.

What is Anthony Hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Hernandez enrolled in Medicare?

Yes. Anthony Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Hernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Molina Healthcare list Anthony Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Hernandez affiliated with any hospitals?

According to CMS data, Anthony Hernandez is affiliated with Tampa General Hospital, Boca Raton Regional Hospital, Delray Medical Center and West Boca Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Hernandez was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.