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

Q: 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.

Q: What is Anthony Hernandez's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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 Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medicine Services, LLC.

2.0 mi

Hospitalist

21644 STATE ROAD 7
Boca Raton, FL 33428

Reassigned Medicare billing, Florida enrollment
516 clinicians in this Medicare group

NPI 1508873183 (561) 488-8000

Hha Associates LLC

62 mi

Hospitalist

4960 SW 72ND AVE STE 301
Miami, FL 33155

Reassigned Medicare billing, Florida enrollment
224 clinicians in this Medicare group

NPI 1265073159 (877) 832-2652

Hospital Physician Services Of Florida PA

510 mi

Hospitalist

8383 N DAVIS HWY
Pensacola, FL 32514

Reassigned Medicare billing, Florida enrollment
601 clinicians in this Medicare group

NPI 1558718635 (850) 494-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5

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

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100287

Location1309 N Flagler DrWest Palm Beach, FL 33401 · 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.

Which organizations bill Medicare for Anthony Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Hernandez reassigns Medicare benefits to 3 organizations: Florida Hospital Medicine Services, LLC. (Boca Raton, FL), Hha Associates LLC (Miami, FL) and Hospital Physician Services Of Florida PA (Pensacola, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Hernandez accept?

Health plans from 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, West Boca Medical Center and Good Samaritan 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.