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MARK A HERNANDEZ MD
NPI 1881679421
Internal Medicine in Pinecrest, FL

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
9619 S DIXIE HWY, PINECREST, FL 33156(786) 882-1919(786) 206-3161 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Jul 17, 2024, Sep 18, 2020 and 1 more (4 updates tracked since 2018).

About Mark A Hernandez Md NPPES

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

MARK A HERNANDEZ MD (NPI 1881679421) is an individual internal medicine provider in Pinecrest, Florida, licensed in Florida (ME84218) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Homestead.

NPPES Registry Identity

NPI1881679421
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK A HERNANDEZCredential: MD
Location Address9619 S DIXIE HWYPinecrest, FL 33156-2804
Mailing AddressPo Box 165154Miami, FL 33116-5154 · (786) 882-1919 · Fax (786) 206-3161
Phone(786) 882-1919
Fax(786) 206-3161
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1999
Enumeration DateDecember 7, 2005
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1881679421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME84218
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.
Also ListedHospitalistTaxonomy 208M00000X · License ME84218 (FL)
9619 S DIXIE HWY, Pinecrest, FL 33156
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Secondary Practice Location 1

Location 1975 Baptist WayHomestead, FL 33033-7600 · Phone (786) 243-8073 · Fax (786) 576-0471

Other Identifiers 4

OtherP00191950FL · Rarilroad Medicare
Medicaid268126900FL
OtherN220840FL · Wellcare
Other13085FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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

Mark A 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 ID2365429735
PECOS Enrollment IDI20040706000116
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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
1,232 services180 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.
710 services190 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.
205 services194 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.
144 services135 patients
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.
87 services83 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101312
Location3301 Overseas HwyMarathon, FL 33050 · Monroe County
Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33156 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers12 claims12 services$48.53 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers13 claims13 services$19.59 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers11 claims11 services$8.27 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 14

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

MS. DESALY DANIELLA GONZALEZ
Physical Therapist
9619 S DIXIE HWY
MIAMI, FL 33156
Miami-Dade County (305) 722-0568
SOUTH DADE TRANSITIONAL CARE GROUP LLC
Internal Medicine
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (786) 882-1919
RICHARD P JACKSON
Physical Therapist
9619 S DIXIE HWY
MIAMI, FL 33156
Miami-Dade County (305) 722-0568
JULIAN DANIEL ABREU
Physical Therapist
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (305) 722-0568
HAYLEY GARICK ATC, LAT
Specialist/Technologist (Athletic Trainer)
9619 S DIXIE HWY
MIAMI, FL 33156
Miami-Dade County (305) 282-4589
DANIEL MANGANELLI
Physical Therapist (Orthopedic)
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (305) 722-0568
AYAIZA FERNANDEZ RN
Registered Nurse
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (786) 882-1919
MR. KEVIN MOSES DPT
Physical Therapist
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (305) 722-0568

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 Mark Hernandez's NPI number?

The NPI number for Mark Hernandez is 1881679421. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Mark Hernandez located?

Mark Hernandez practices at 9619 S Dixie Hwy, Pinecrest, FL 33156. The listed phone number is (786) 882-1919.

What is Mark Hernandez's specialty?

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

Is Mark Hernandez enrolled in Medicare?

Yes. Mark 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 Mark Hernandez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Mark 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 Mark Hernandez affiliated with any hospitals?

According to CMS data, Mark Hernandez is affiliated with Baptist Hospital Of Miami, Homestead Hospital, West Kendall Baptist Hospital, Fishermen's Community Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Mark Hernandez was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.