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DR. DON M FERNANDEZ M.D.
NPI 1972583755
Internal Medicine - Pulmonary Disease in Sacramento, CA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
1485 RIVER PARK DR, SUITE 200, SACRAMENTO, CA 95815(916) 325-1040(916) 669-4100 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2024, Jul 21, 2022, Sep 11, 2017 (3 updates tracked since 2017).

About Dr. Don M Fernandez M.d. NPPES

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

DR. DON M FERNANDEZ M.D. (NPI 1972583755) is an individual pulmonary disease provider in Sacramento, California, licensed in California (GH112Z) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1999).

NPPES Registry Identity

NPI1972583755
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DON M FERNANDEZCredential: M.D.
Location Address1485 RIVER PARK DR, SUITE 200Sacramento, CA 95815-4530
Mailing Address1300 Ethan Way Ste 600Sacramento, CA 95825-2296 · (916) 679-3590 · Fax (916) 482-3647
Phone(916) 325-1040
Fax(916) 669-4100
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1999
Enumeration DateJanuary 18, 2006
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1972583755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in CA · GH112Z✔ Licensed in IL · 036.169355
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License GH112Z (CA), 036.169355 (IL)
1485 RIVER PARK DR, Sacramento, CA 95815
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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. Don M 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 ID7810904695
PECOS Enrollment IDI20120726000507
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

6

Medicare enrollment records show Don Fernandez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - Intensivists PC
2.6 mi
Critical Care Medicine
2825 CAPITOL AVE
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
NPI 1215577291 (946) 887-1230
Galen Inpatient Physicians PC
14 mi
Addiction Medicine
1 MEDICAL PLAZA DR
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
NPI 1548155815 (916) 781-1000
Pulmonary Medicine Associates Medical Group, Inc
14 mi
Pulmonary Disease
5 MEDICAL PLAZA DR STE 190
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 115 clinicians in this Medicare group
NPI 1407880719 (916) 786-7498
Lodi Memorial Hospital Association Inc
32 mi
Clinic/Center
305 PRESTON AVE
Ione, CA 95640
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1750391710 (209) 274-2183
Cep America Illinois Intensivists
1,697 mi
Critical Care Medicine
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1992204184 (618) 234-2120
Vituity-Georgia Intensivists PC
2,088 mi
Internal Medicine
450 N CANDLER ST
Decatur, GA 30030
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1770348500 (404) 501-6100

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.

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.
100 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95815 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Don Fernandez's NPI number?

The NPI number for Don Fernandez is 1972583755. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Don Fernandez located?

Don Fernandez practices at 1485 River Park Dr Suite 200, Sacramento, CA 95815. The listed phone number is (916) 325-1040.

What is Don Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Don Fernandez enrolled in Medicare?

Yes. Don 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 Don Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Don Fernandez reassigns Medicare benefits to 6 organizations: Cep America - Intensivists PC (Sacramento, CA), Galen Inpatient Physicians PC (Roseville, CA), Pulmonary Medicine Associates Medical Group, Inc (Roseville, CA), Lodi Memorial Hospital Association Inc (Ione, CA), Cep America Illinois Intensivists (O Fallon, IL) and 1 more organization, 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 Don Fernandez'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 Don Fernandez was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.