TIMOTHY A HERNANDEZ MD
NPI 1851495584
Internal Medicine in San Antonio, TX

Active since September 12, 2006PECOS Enrolled
75/100
CMS Quality Rating
1139 E SONTERRA BLVD, SUITE 405, SAN ANTONIO, TX 78258(210) 404-0000(210) 404-2812 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy A Hernandez Md NPPES

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

TIMOTHY A HERNANDEZ MD (NPI 1851495584) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (K0489) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1995).

NPPES Registry Identity

NPI1851495584
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTIMOTHY A HERNANDEZCredential: MD
Location Address1139 E SONTERRA BLVD, SUITE 405San Antonio, TX 78258-4347
Mailing Address1139 E Sonterra Blvd Ste 405San Antonio, TX 78258-4352 · (210) 404-0000 · Fax (210) 404-2812
Fax(210) 404-2812
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1995
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJanuary 16, 2018
NPI 1851495584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · K0489
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1139 E SONTERRA BLVD, San Antonio, TX 78258

Other Identifiers 4

OtherP01164916Railroad Medicare
Medicaid038712803TX
Other8DL471TX · Bcbstx
OtherK0489TX · License 8k5160

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy A Hernandez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476452772
PECOS Enrollment IDI20040106000529
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 27

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.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
741 services299 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
262 services172 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
219 services219 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
217 services153 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
203 services143 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
183 services183 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
64%267 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
70%671 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 3% · 40 patients
Patients 4MonthsOfStart: 8% · 38 patients
2%46 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
91%149 patients4/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
84%4,567 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
94%603 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
65%896 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%116 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%1,219 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%610 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
82%1,207 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
52%853 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,219 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
95%1,219 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
44%1,219 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims28 services$4.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
1139 E SONTERRA BLVD, STE 260
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, SUITE 500
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, STE 500
SAN ANTONIO, TX 78258
Physician Assistant
1139 E SONTERRA BLVD, SUITE 500
SAN ANTONIO, TX 78258
Nurse Practitioner (Family)
1139 E SONTERRA BLVD, SUITE 405
SAN ANTONIO, TX 78258
Internal Medicine
1139 E SONTERRA BLVD, SUITE 405
SAN ANTONIO, TX 78258
Internal Medicine (Pulmonary Disease)
1139 E SONTERRA BLVD, SUITE 300
SAN ANTONIO, TX 78258
Internal Medicine (Pulmonary Disease)
1139 E SONTERRA BLVD, SUITE 300
SAN ANTONIO, TX 78258

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 Timothy Hernandez's NPI number?

The NPI number for Timothy Hernandez is 1851495584. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Timothy Hernandez located?

Timothy Hernandez practices at 1139 E Sonterra Blvd Suite 405, San Antonio, TX 78258. The listed phone number is (210) 404-0000.

What is Timothy Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Timothy Hernandez enrolled in Medicare?

Yes. Timothy Hernandez is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Hernandez accept?

Health plans from UnitedHealthcare list Timothy 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 Timothy Hernandez affiliated with any hospitals?

According to CMS data, Timothy Hernandez is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Hernandez was last updated on January 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.