TIMOTHY J HERNANDEZ MD
NPI 1932110079
Family Medicine in West Saint Paul, MN

Q: What is Timothy Hernandez's NPI number?

The NPI number for Timothy Hernandez is 1932110079. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Timothy Hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Hernandez was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 11, 2006PECOS EnrolledAccepts Medicare Assignment

234 WENTWORTH AVE E, WEST SAINT PAUL, MN 55118(651) 455-2940(651) 455-3354 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Timothy J Hernandez Md NPPES

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

TIMOTHY J HERNANDEZ MD (NPI 1932110079) is an individual family medicine provider in West Saint Paul, Minnesota, licensed in Minnesota (30114) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Mayo Medical School (1985).

NPPES Registry Identity

NPI1932110079

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTIMOTHY J HERNANDEZCredential: MD

Location Address234 WENTWORTH AVE EWest Saint Paul, MN 55118-3525

Mailing Address2025 Sloan Pl Ste 35Saint Paul, MN 55117-2092 · (651) 772-1572 · Fax (651) 772-1889

Phone(651) 455-2940

Fax(651) 455-3354

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 1985

Enumeration DateAugust 11, 2006

Last NPPES UpdateApril 23, 2019

✔ NPI 1932110079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 30114

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

234 WENTWORTH AVE E, West Saint Paul, MN 55118

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Other Identifiers 1

Medicaid189882500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Timothy J 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 ID2163334285

PECOS Enrollment IDI20060424000516

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

Medicare enrollment records show Timothy Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Healthservices Minnesota, P.A.

Same address

Family Medicine

234 WENTWORTH AVE E
West St Paul, MN 55118

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Family Healthservices Minnesota PA
40 clinicians in this Medicare group

NPI 1801076526 (651) 788-4444

Fairview Clinics

3.7 mi

Primary Care

45 10TH ST W
Saint Paul, MN 55102

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1396552147 (651) 232-4990

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 13

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 moderate level of decision making, if using time, 30 minutes or more 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.

321 services123 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.

182 services115 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

135 services56 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.

82 services66 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.

78 services78 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services36 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

33 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services15 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

15 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

14 services13 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

13 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services12 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 10

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

15 suppliers57 claims161 services$5.82 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers20 claims21 services$0.86 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$7.89 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers18 claims18 services$32.81 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers13 claims13 services$67.78 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers18 claims18 services$37.71 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 17

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

PATRICK N ARNOLD MD

Family Medicine

234 WENTWORTH AVE E
SAINT PAUL, MN 55118

Dakota County (651) 455-2940

JOHN O PUNDERSON MD

Family Medicine

234 WENTWORTH AVE E
WEST ST PAUL, MN 55118

Dakota County (651) 455-2940

AUBREY DAVIS APRN-CNP

Nurse Practitioner

234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

Dakota County (612) 819-0597

STEPHANIE ANDERSON PA

Physician Assistant

234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

Dakota County (651) 788-4444

FAMILY HEALTHSERVICES MINNESOTA, P.A.

Non-Pharmacy Dispensing Site

234 WENTWORTH AVE E
WEST ST PAUL, MN 55118

Dakota County (651) 455-2940

CHRISTINA MARIE LOSASSO NP

Nurse Practitioner (Family)

234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

Dakota County (651) 455-2940

PATRICK Q KNOEDLER MD

Family Medicine

234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

Dakota County (651) 788-4444

ANNIKA ELIZABETH SKOGG PHARMD

Pharmacist (Ambulatory Care)

234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

Dakota County (651) 455-2940

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 1932110079. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Timothy Hernandez located?

Timothy Hernandez practices at 234 Wentworth Ave E, West Saint Paul, MN 55118. The listed phone number is (651) 455-2940.

What is Timothy Hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Hernandez enrolled in Medicare?

Yes. Timothy 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 Timothy Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Hernandez reassigns Medicare benefits to 2 organizations: Family Healthservices Minnesota, P.A. (West St Paul, MN) and Fairview Clinics (Saint Paul, MN). 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 Timothy Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Hernandez accept?

Health plans from HealthPartners and Sanford Health Plan 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 Abbott Northwestern Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Timothy Hernandez was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.