DR. MARK D HERNANDEZ
NPI 1952454449
Emergency Medicine - Emergency Medical Services in Camp Pendleton, CA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
BLDG, H100, SANTA MARGARITA ROAD, CAMP PENDLETON, CA 92055(760) 725-8882(760) 725-1267 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark D Hernandez NPPES

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

DR. MARK D HERNANDEZ (NPI 1952454449) is an individual emergency medical services provider in Camp Pendleton, California, licensed in Virginia (0101056186) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1996).

NPPES Registry Identity

NPI1952454449
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. MARK D HERNANDEZ
Location AddressBLDG, H100, SANTA MARGARITA ROADCamp Pendleton, CA 92055-9151
Mailing Address9504 Paseo De Los CastillosSantee, CA 92071-4185 · (619) 334-6959
Fax(760) 725-1267
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1996
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 18, 2008
✔ NPI 1952454449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in VA · 0101056186
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
BLDG, H100, SANTA MARGARITA ROAD, Camp Pendleton, CA 92055

Other Names 1

Professional Name (2)Dr. Mark D Hernandez Md

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

Dr. Mark D Hernandez 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 ID7416015151
PECOS Enrollment IDI20081023000664
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 Mark Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
435 H ST
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
206 services184 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
156 services146 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
50 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92055 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
Improvement Activities40

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 1952454449. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Dr. Mark D Hernandez MD.

Where is Mark Hernandez located?

Mark Hernandez practices at Bldg, H100, Santa Margarita Road, Camp Pendleton, CA 92055. The listed phone number is (760) 725-8882.

What is Mark Hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

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.

Which organization bills Medicare for Mark Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hernandez reassigns Medicare benefits to Chula Vista Emergency Room Physicians, A Medical Corporation (Chula Vista, CA). 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 Mark Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Hernandez was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.