EDGAR H HERNANDEZ M.D.
NPI 1861473506
Surgery in Chandler, AZ

Q: What is Edgar Hernandez's NPI number?

The NPI number for Edgar Hernandez is 1861473506. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Edgar Hernandez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Hernandez was last updated on November 14, 2022. 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 November 09, 2005PECOS EnrolledAccepts Medicare Assignment

93.61/100

CMS Quality Rating

685 S DOBSON RD, CHANDLER, AZ 85224(480) 821-2838(480) 821-9444 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2022, Aug 30, 2018 (2 updates tracked since 2018).

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About Edgar H Hernandez M.d. NPPES

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

EDGAR H HERNANDEZ M.D. (NPI 1861473506) is an individual surgery provider in Chandler, Arizona, licensed in Arizona (11305) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1978).

NPPES Registry Identity

NPI1861473506

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameEDGAR H HERNANDEZCredential: M.D.

Location Address685 S DOBSON RDChandler, AZ 85224-5665

Mailing AddressPo Box 6423Chandler, AZ 85246-6423

Phone(480) 821-2838

Fax(480) 821-9444

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1978

Enumeration DateNovember 9, 2005

Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1861473506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AZ · 11305

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

685 S DOBSON RD, Chandler, AZ 85224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Edgar H 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 ID2264532456

PECOS Enrollment IDI20101130001411

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

246 services163 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

51 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

39 services39 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

93.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Quality

97.66

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%429 patients5/55-star benchmark: 100%

Breast Cancer Screening

97%702 patients5/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

53%66 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

74%1,016 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

93%2,096 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Pain Intensity Quantified

98%43 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

35%1,446 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 652 patients

Patients screened: 100% · 652 patients

50%34 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%1,454 patients4/55-star benchmark: 100%

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.

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Other Providers at the Same Location NPPES 11

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

IRONWOOD PHYSICIANS, PC

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