Active NPI 1972571727 Individual Practitioner Male Practitioner

Dr. Marc E Fernandez , MD

Surgery • Hernando, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Fernandez, MD is a certified Surgery practicing in Hernando, FL. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Fernandez delivers high-quality medical care to the local community at 2456 N ESSEX AVE.

Dr. Fernandez is affiliated with Centracare Clinic Southwest Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of skin growth, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2456 N Essex Ave

Hernando, FL 344425321

Telephone 3525134783

Fax 3525134810

Associated Practice Facility / Clinic

🏢 Crystal River Hma Physician Management Llc Facility NPI 1699441667

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hernando, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Hernando, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fernandez (37 Years) 37 Yrs

Hernando Specialty Average (37.0 Years) 37.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$118.91	$52.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	31	$118.39	$51.57
99213 Established patient office or other outpatient visit, typically 15 minutes	37	27	$189.11	$86.49
17000 Destruction of skin growth	25	17	$184.00	$53.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$296.18	$108.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$455.29	$162.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$287.18	$125.13
97597 Removal of tissue from wound, 20.0 sq cm or less	14	12	$204.00	$37.57
11104 Punch biopsy, first skin growth	13	13	$340.00	$116.79
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$207.25	$71.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$575.00	$223.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	35	$153.00	$73.19
17003 Destruction of precancer skin growth, 2-14 growths	48	11	$23.50	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$158.58	$92.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	23	$86.00	$39.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$300.00	$138.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$230.92	$131.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$102.67	$56.45
17000 Destruction of skin growth	19	14	$240.79	$55.77
11104 Punch biopsy, first skin growth	16	14	$391.00	$117.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$435.00	$204.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$374.33	$171.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$232.00	$114.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	58	$86.00	$40.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	76	$225.00	$110.06
99213 Established patient office or other outpatient visit, typically 15 minutes	86	75	$153.00	$75.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	38	$153.00	$74.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$300.00	$142.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$92.00	$45.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$358.00	$167.39
17003 Destruction of precancer skin growth, 2-14 growths	40	12	$25.00	$5.94
11104 Punch biopsy, first skin growth	37	27	$408.00	$119.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$435.00	$208.73
17000 Destruction of skin growth	31	21	$267.00	$53.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$232.00	$109.03
17110 Destruction of up to 14 skin growths	13	12	$360.00	$98.74
49650 Repair of groin hernia using an endoscope	12	12	$1552.00	$526.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	103	$153.00	$74.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	44	$153.00	$74.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	65	$225.00	$108.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	49	$92.00	$44.95
17003 Destruction of precancer skin growth, 2-14 growths	55	15	$25.00	$5.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	31	$86.00	$40.23
11104 Punch biopsy, first skin growth	46	36	$408.00	$118.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$358.00	$162.90
17000 Destruction of skin growth	38	27	$267.00	$48.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$435.00	$206.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$300.00	$139.86
11105 Punch biopsy, each additional skin growth	30	16	$202.00	$60.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$232.00	$109.02
17110 Destruction of up to 14 skin growths	18	17	$360.00	$88.46
49650 Repair of groin hernia using an endoscope	16	16	$1552.00	$529.58
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2797.00	$770.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$443.00	$208.86
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$91.00	$45.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	128	$153.00	$71.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	59	$153.00	$73.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	81	$225.00	$106.75
17003 Destruction of precancer skin growth, 2-14 growths	77	25	$25.00	$5.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	35	$86.00	$39.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	56	$92.00	$43.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$358.00	$164.43
17000 Destruction of skin growth	51	35	$267.00	$56.34
11100 Biopsy of single growth of skin and/or tissue	48	43	$345.00	$93.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$300.00	$138.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$435.00	$204.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$232.00	$107.58
11101 Biopsy of each additional growth of skin and/or tissue	33	17	$112.00	$32.92
17110 Destruction of up to 14 skin growths	27	23	$360.00	$102.05
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$91.00	$44.18
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$996.00	$158.90
76937 Ultrasonic guidance for blood vessel access	12	12	$53.00	$14.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1335.00	$353.81
93880 Ultrasound of both sides of head and neck blood flow	11	11	$811.00	$198.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$66.00	$18.95
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$603.00	$154.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	151	80	$153.00	$71.98
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$153.00	$72.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	67	$225.00	$105.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	78	$300.00	$137.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	49	$86.00	$39.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	58	$92.00	$42.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$358.00	$163.32
11100 Biopsy of single growth of skin and/or tissue	47	42	$345.00	$87.90
17003 Destruction of precancer skin growth, 2-14 growths	42	16	$25.00	$5.60
17000 Destruction of skin growth	38	31	$267.00	$52.95
17110 Destruction of up to 14 skin growths	33	25	$360.00	$103.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$435.00	$203.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$232.00	$107.49
93880 Ultrasound of both sides of head and neck blood flow	18	18	$811.00	$195.90
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$91.00	$43.62
49505 Repair of groin hernia (5 years or older)	14	14	$1897.00	$526.07
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2797.00	$725.31
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$157.00	$73.85
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$66.00	$19.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$829.00	$174.34

Medical Specialties & State Licenses

CMS Verified: 2025-04-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 39262

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME68189

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010727700 (FL)

Commercial Insurance / Payer ID Npi

1972571727 (FL)

Hospital & Practice Group Affiliations

Centracare Clinic Southwest Llc

101 Willmar Ave Sw, Willmar, MN 562013556

Phone: 3202315000

Secondary Practice Locations

2400 N Essex Ave

Hernando, FL 344425320

Phone: 3525134276

2209 S Sterling St Ste 530

Morganton, NC 286554093

Phone: 8285802250

204 Airport Rd

Kinston, NC 285048814

Phone: 2527755999

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2025

Surgery (License #39262 in NC)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2025

Surgery (License #ME68189 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2023

Surgery (License #39262 in NC)

📍

Updated Practice Location August 20, 2021

Registered at 2456 N ESSEX AVE, HERNANDO, FL 344425321 (Tel: 3525134783)

📍

Updated Business Mailing Address August 20, 2021

Registered at 2456 N ESSEX AVE, HERNANDO, FL 344425321 (Tel: 3525134783)

✅

NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2016

Registered at 403 W HIGHLAND BLVD, INVERNESS, FL 344524717 (Tel: 3527263646)

📍

Updated Business Mailing Address January 26, 2016

Registered at 403 W HIGHLAND BLVD, INVERNESS, FL 344524717 (Tel: 3527263646)

👤

Provider Name / Credentials Updated January 26, 2016

Recorded as MARC FERNANDEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Surgery (License #ME68189 in FL)

🟢

Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972571727

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 09, 2006

Last Update: April 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2456 N Essex Ave

Hernando, FL 344425321

Phone: 3525134783

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.