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DR. ANTONY FERNANDEZ M.D.
NPI 1962452862
Psychiatry & Neurology - Psychiatry in Richmond, VA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1201 BROAD ROCK BLVD # 116A, MCGUIRE VAMC, RICHMOND, VA 23249(804) 675-5000(804) 675-6771 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Antony Fernandez M.d. NPPES

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

DR. ANTONY FERNANDEZ M.D. (NPI 1962452862) is an individual psychiatry provider in Richmond, Virginia, licensed in Virginia (0101055932) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962452862
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ANTONY FERNANDEZCredential: M.D.
Location Address1201 BROAD ROCK BLVD # 116A, MCGUIRE VAMCRichmond, VA 23249-0001
Mailing Address4361 Bathgate RoadRichmond, VA 23234-3581 · (804) 301-5186 · Fax (804) 675-6771
Phone(804) 675-5000
Fax(804) 675-6771
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1962452862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VA · 0101055932✔ Licensed in SC · 89656
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1201 BROAD ROCK BLVD # 116A, Richmond, VA 23249
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11325 Spring StGreenwood, SC 29646-3860 · Phone (864) 725-4398
Location 271 S Flannagan AveLebanon, VA 24266-4575 · Phone (276) 415-9160
Location 3312 Hospital DrClintwood, VA 24228-6786 · Phone (276) 926-0300

Other Identifiers 1

Medicaid7116560VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health.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

Dr. Antony Fernandez 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 ID8921013947
PECOS Enrollment IDI20190809002919
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

7

Medicare enrollment records show Antony Fernandez reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Physician Services Inc
43 mi
Gastroenterology
120 KINGS WAY STE 3500
Williamsburg, VA 23185
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1083867311 (757) 221-0750
Crossroads Services Board
51 mi
Community/Behavioral Health
60 BUSH RIVER DRIVE
Farmville, VA 23901
  • Reassigned Medicare billing, Virginia enrollment
  • 32 clinicians in this Medicare group
NPI 1528091063 (434) 392-7049
Duke University Health System, Inc.
128 mi
Internal Medicine
4220 N ROXBORO ST
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,482 clinicians in this Medicare group
NPI 1962721308 (919) 471-8344
Blue Ridge Medical Management Corporation
213 mi
Urology
7021 WEST LEE HIGHWAY, SUITE B
Rural Retreat, VA 24368
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
NPI 1811269640 (276) 783-5400
Dickenson Community Hospital, Inc.
275 mi
Critical Access
312 HOSPITAL DR
Clintwood, VA 24228
  • Reassigned Medicare billing, Virginia enrollment
  • 21 clinicians in this Medicare group
NPI 1285685727 (276) 926-0300
Spartanburg Medical Center
286 mi
Obstetrics & Gynecology
1506 N LIMESTONE ST STE C
Gaffney, SC 29340
  • Reassigned Medicare billing, South Carolina enrollment
  • 308 clinicians in this Medicare group
NPI 1144799420 (864) 487-4573
Self Medical Group
321 mi
Rural Health
2605 KINARD STREET, SUITE 200
Newberry, SC 29108
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
NPI 1477880003 (803) 405-1900

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 2

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.
22 services19 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 services17 patients

Hospital Affiliations CMS Care Compare

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23249 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KIRK LEE NELSON M.D.
Psychiatry & Neurology (Psychiatry)
1201 BROAD ROCK BLVD # 116A, MCGUIRE VAMC
RICHMOND, VA 23249
Richmond City (804) 675-6737
DR. HASSAN MURTAZA SHAH MBBS
Psychiatry & Neurology (Psychiatry)
1201 BROAD ROCK BLVD # 116A
RICHMOND, VA 23249
Richmond City (804) 675-5000
MRS. BEVERLY ELAINE ROSS APRN, BC, CNS
Registered Nurse (Psychiatric/Mental Health, Adult)
1201 BROAD ROCK BLVD # 116A
RICHMOND, VA 23249
Richmond City (804) 675-5389

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 Antony Fernandez's NPI number?

The NPI number for Antony Fernandez is 1962452862. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Antony Fernandez located?

Antony Fernandez practices at 1201 Broad Rock Blvd # 116A Mcguire Vamc, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Antony Fernandez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Antony Fernandez enrolled in Medicare?

Yes. Antony Fernandez 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 Antony Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antony Fernandez reassigns Medicare benefits to 7 organizations: Riverside Physician Services Inc (Williamsburg, VA), Crossroads Services Board (Farmville, VA), Duke University Health System, Inc. (Durham, NC), Blue Ridge Medical Management Corporation (Rural Retreat, VA), Dickenson Community Hospital, Inc. (Clintwood, VA) and 2 more organizations, listed in the Medicare section above. 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 Antony Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antony Fernandez accept?

Health plans from Molina Healthcare and Oscar Health list Antony Fernandez 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 Antony Fernandez affiliated with any hospitals?

According to CMS data, Antony Fernandez is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Antony Fernandez was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.