ZACHARY JAMES HERNANDEZ M.D.
NPI 1831577550
Emergency Medicine in Tucson, AZ

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
92.28/100
CMS Quality Rating
BANNER UNIVERSITY MEDICAL CENTER TUCSON, 1501 N. CAMPBELL AVE., TUCSON, AZ 85724(520) 694-0111 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zachary James Hernandez M.d. NPPES

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

ZACHARY JAMES HERNANDEZ M.D. (NPI 1831577550) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (R74940) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2015).

NPPES Registry Identity

NPI1831577550
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameZACHARY JAMES HERNANDEZCredential: M.D.
Location AddressBANNER UNIVERSITY MEDICAL CENTER TUCSON, 1501 N. CAMPBELL AVE.Tucson, AZ 85724-0001
Mailing AddressBanner University Medical Center Tucson, 1501 N. Campbell Ave.Tucson, AZ 85724-0001 · (520) 694-0111
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2015
Enumeration DateMay 14, 2015
✔ NPI 1831577550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · R74940
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
BANNER UNIVERSITY MEDICAL CENTER TUCSON, Tucson, AZ 85724

Accepted 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

Zachary James Hernandez M.d. 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 ID3870806672
PECOS Enrollment IDI20181102001870
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

6

Medicare enrollment records show Zachary Hernandez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
Critical Access
450 S OCOTILLO AVE
Benson, AZ 85602
  • Reassigned Medicare billing, Arizona enrollment
  • 152 clinicians in this Medicare group
Emergency Medicine
37000 N GANTZEL RD
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 199 clinicians in this Medicare group
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
Rural
ARIZONA HIGHWAY 191
Ganado, AZ 86505
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
Rural Health
95 2ND ST NW
Beach, ND 58621
  • Reassigned Medicare billing, North Dakota enrollment
  • 401 clinicians in this Medicare group

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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
56 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost51.21

Other Providers at the Same Location NPPES 3

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

Emergency Medicine
BANNER UNIVERSITY MEDICAL CENTER TUCSON, 1501 N. CAMPBELL AVE.
TUCSON, AZ 85724
Emergency Medicine
BANNER UNIVERSITY MEDICAL CENTER TUCSON, 1501 N. CAMPBELL AVE.
TUCSON, AZ 85724
Internal Medicine (Critical Care Medicine)
BANNER UNIVERSITY MEDICAL CENTER TUCSON, 1501 N. CAMPBELL AVE.
TUCSON, AZ 85724

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 Zachary Hernandez's NPI number?

The NPI number for Zachary Hernandez is 1831577550. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Zachary Hernandez located?

Zachary Hernandez practices at Banner University Medical Center Tucson 1501 N. Campbell Ave., Tucson, AZ 85724. The listed phone number is (520) 694-0111.

What is Zachary Hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Zachary Hernandez enrolled in Medicare?

Yes. Zachary 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 Zachary Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Hernandez reassigns Medicare benefits to 6 organizations: Banner-University Medical Group (Tucson, AZ), Benson Hospital Corporation (Benson, AZ), Emergency Professional Services PC (San Tan Valley, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Navajo Health Foundation-Sage Memorial Hospital, Inc. (Ganado, AZ) and 1 more organization, listed in the Medicare section above. 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 Zachary Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Hernandez accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Zachary 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.

When was this NPI record last updated?

The NPPES record for Zachary Hernandez was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.