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ADRIAN HERNANDEZ M.D.
NPI 1902980063
Internal Medicine - Cardiovascular Disease in Durham, NC

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2100 ERWIN RD, DURHAM, NC 27710(919) 620-4467 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adrian Hernandez M.d. NPPES

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

ADRIAN HERNANDEZ M.D. (NPI 1902980063) is an individual cardiovascular disease provider in Durham, North Carolina, licensed in North Carolina (2001-00149) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1902980063
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameADRIAN HERNANDEZCredential: M.D.
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address2100 Erwin Rd, Duke University Medical Center - Dumc 3850Durham, NC 27710-0001
Phone(919) 620-4467
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 22, 2013
✔ NPI 1902980063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 2001-00149
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2100 ERWIN RD, Durham, NC 27710
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified89136NFNC
Medicare ID-Type UnspecifiedH11017
Medicare ID-Type Unspecified2024293NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Adrian 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 ID2668454943
PECOS Enrollment IDI20040601001473
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 Reassignment

Medicare enrollment records show Adrian Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
0.4 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

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 4

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 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.
204 services57 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 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.
21 services21 patients
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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers18 claims18 services$18.57 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims59 services$36.13 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier17 claims873 services$1.30 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.

NICOLAS DEL RIO AESCHLIMANN M.D.
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MR. GILBERT HOLMES CIOCCI
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Durham County (919) 668-1100
VINOD PRASAD
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
VIRGINIA KRAUS
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DR. SCOTT COUSINS MD
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
CINDY BLACK CRNA
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DONALD MOEDE
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
THOMAS D'AMICO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467

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 Adrian Hernandez's NPI number?

The NPI number for Adrian Hernandez is 1902980063. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Adrian Hernandez located?

Adrian Hernandez practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 620-4467.

What is Adrian Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Adrian Hernandez enrolled in Medicare?

Yes. Adrian 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 organization bills Medicare for Adrian Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Hernandez reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The 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 Adrian Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrian Hernandez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Adrian 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 Adrian Hernandez affiliated with any hospitals?

According to CMS data, Adrian Hernandez is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Adrian Hernandez was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.