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CAROL RODRIGUEZ HERNANDEZ PA-C
NPI 1972732154
Physician Assistant in Miami, FL

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
7500 SW 87TH AVE, SUITE 200, MIAMI, FL 33173(305) 913-0666(305) 913-0663 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Rodriguez Hernandez Pa-c NPPES

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

CAROL RODRIGUEZ HERNANDEZ PA-C (NPI 1972732154) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9103135) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1972732154
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROL RODRIGUEZ HERNANDEZCredential: PA-C
Location Address7500 SW 87TH AVE, SUITE 200Miami, FL 33173-5426
Mailing Address7500 Sw 87th Ave, Suite 200Miami, FL 33173-5426 · (305) 913-0666 · Fax (305) 913-0663
Phone(305) 913-0666
Fax(305) 913-0663
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 8, 2009
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1972732154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9103135
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7500 SW 87TH AVE, Miami, FL 33173
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Rodriguez Hernandez Pa-c 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 ID8729124227
PECOS Enrollment IDI20091014000633
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.

Areas of Expertise CMS Part B claims 8

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.
101 services87 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.
48 services40 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.
48 services46 patients
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.
46 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services26 patients

Hospital Affiliations CMS Care Compare 3

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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.

MRS. DIANA P BELL MS,RD,LD/N,CDE
Dietitian, Registered (Nutrition, Metabolic)
7500 SW 87TH AVE, SUITE 200
MIAMI, FL 33173
Miami-Dade County (305) 913-0666
STEVEN A SIMON MD
Pathology (Anatomic Pathology & Clinical Pathology)
7500 SW 87TH AVE, SUITE 101
MIAMI, FL 33173
Miami-Dade County (305) 662-2554
GEORGE ALEXANDER SANCHEZ MD
Internal Medicine (Gastroenterology)
7500 SW 87TH AVE, STE 200
MIAMI, FL 33173
Miami-Dade County (305) 913-0666
AMBULATORY SURGICAL CENTER OF MIAMI
Clinic/Center (Ambulatory Surgical)
7500 SW 87TH AVE, SUITE# 101
MIAMI, FL 33173
Miami-Dade County (305) 595-9511
MRS. SABRINA KAPLAN M.M.S., PA-C
Physician Assistant (Medical)
7500 SW 87TH AVE, SUITE 200
MIAMI, FL 33173
Miami-Dade County (305) 913-0666
JAVIER LEONARDO PARRA M.D.
Internal Medicine (Gastroenterology)
7500 SW 87TH AVE, SUITE 200
MIAMI, FL 33173
Miami-Dade County (305) 913-0666
TAWANNA LEVONNE EDGECOMB CRNA
Nurse Anesthetist, Certified Registered
7500 SW 87TH AVE, 100
MIAMI, FL 33173
Miami-Dade County (305) 468-4185
GASTROENTEROLOGY CARE CENTER
Internal Medicine (Gastroenterology)
7500 SW 87TH AVE, 200
MIAMI, FL 33173
Miami-Dade County (305) 913-0666

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 Carol Hernandez's NPI number?

The NPI number for Carol Hernandez is 1972732154. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Carol Hernandez located?

Carol Hernandez practices at 7500 SW 87th Ave Suite 200, Miami, FL 33173. The listed phone number is (305) 913-0666.

What is Carol Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carol Hernandez enrolled in Medicare?

Yes. Carol 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.

What insurance does Carol Hernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 1 other insurer list Carol 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 Carol Hernandez affiliated with any hospitals?

According to CMS data, Carol Hernandez is affiliated with South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Carol Hernandez was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.