Active NPI 1205078649 Individual Practitioner Male Practitioner

Dr. Luis Oscar Hernandez , MD

Colon & Rectal Surgery • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Hernandez, MD is a certified Colon & Rectal Surgery practicing in Miami, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Hernandez delivers high-quality medical care to the local community at 7765 SW 87TH AVENUE.

Dr. Hernandez is affiliated with Gastro Health, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, 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

7765 Sw 87th Avenue
212

Miami, FL 33173

Telephone 3055963080

Fax 3055963073

Associated Practice Facility / Clinic

🏢 Marcos Szomstein Mdpa Facility NPI 1295865293

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Miami, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -8.4 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

21 Specialists

Practicing in Miami, FL (184 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (17 Years) 17 Yrs

Miami Specialty Average (25.4 Years) 25.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	37	$344.00	$124.55
99213 Established patient office or other outpatient visit, typically 15 minutes	46	29	$237.00	$94.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$542.00	$177.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	33	$348.00	$132.06
46600 Diagnostic examination of the anus using an endoscope	18	12	$411.00	$122.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1426.00	$261.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	36	$344.00	$129.61
99213 Established patient office or other outpatient visit, typically 15 minutes	51	38	$237.00	$97.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$348.00	$137.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	24	$670.00	$188.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$542.00	$181.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1426.00	$275.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$358.00	$123.17
46600 Diagnostic examination of the anus using an endoscope	11	11	$293.00	$129.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	54	$344.00	$110.59
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$237.00	$98.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	20	$237.00	$77.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$455.00	$148.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	23	$670.00	$214.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$348.00	$137.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$542.00	$151.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$542.00	$184.23
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	13	13	$712.00	$202.01
46600 Diagnostic examination of the anus using an endoscope	12	11	$293.00	$133.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1426.00	$288.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	32	$344.00	$112.58
99213 Established patient office or other outpatient visit, typically 15 minutes	44	32	$237.00	$99.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	29	$455.00	$149.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$655.00	$218.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$237.00	$78.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$542.00	$185.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$348.00	$141.17
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$237.00	$74.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	39	$344.00	$113.36
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$237.00	$81.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$455.00	$152.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$237.00	$79.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	18	$348.00	$117.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$542.00	$181.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$384.00	$223.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$358.00	$117.61
46600 Diagnostic examination of the anus using an endoscope	12	11	$293.00	$113.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	150	69	$344.00	$112.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	67	$455.00	$149.62
99213 Established patient office or other outpatient visit, typically 15 minutes	73	48	$237.00	$79.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$358.00	$117.60
46600 Diagnostic examination of the anus using an endoscope	18	16	$293.00	$103.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$237.00	$78.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$542.00	$178.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$348.00	$115.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	195	82	$344.00	$109.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	88	$455.00	$145.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	19	$239.06	$76.73
99213 Established patient office or other outpatient visit, typically 15 minutes	30	18	$237.00	$75.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$358.00	$114.35
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	11	11	$712.00	$157.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	25	$340.73	$108.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	32	$450.43	$146.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	23	$223.91	$76.72
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$157.42	$55.96
46600 Diagnostic examination of the anus using an endoscope	16	12	$124.00	$47.41

Medical Specialties & State Licenses

CMS Verified: 2020-08-07

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License FL ME124589

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL TRN 13872

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.

Hospital & Practice Group Affiliations

Gastro Health, Llc

7765 Sw87th Ave, Miami, FL 33173

Phone: 3055963080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Eduardo Krajewski , MD

Colon & Rectal Surgery

NPI 1073618120

Doctor of Medicine (M.D.)

Dr. Marcos Szomstein , MD

Colon & Rectal Surgery

NPI 1497799761

Doctor of Medicine (M.D.)

Dr. Khristian Noto , MD

Colon & Rectal Surgery

NPI 1710194725

Doctor of Medicine (M.D.)

Dr. Andrea Madiedo , MD

Colon & Rectal Surgery

NPI 1811359508

Doctor of Medicine (M.D.)

Dr. Samir Shah , MD

Colon & Rectal Surgery

NPI 1881893741

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2017

Registered at 7765 SW 87TH AVENUE, 212, MIAMI, FL 33173 (Tel: 3055963080)

📍

Updated Business Mailing Address August 08, 2017

Registered at 9500 S DADELAND BLVD, 200, MIAMI, FL 33156 (Tel: (305) 468-4185)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as LUIS HERNANDEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Surgery (License #TRN 13872 in FL)

✅

NPI Profile Active June 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2015

Registered at 110 IRVING ST NW STE 2100, DEPT OF COLON AND RECTAL SURGERY, WASHINGTON, DC 200103017 (Tel: 2028773536)

📍

Updated Business Mailing Address June 17, 2015

Registered at 110 IRVING ST NW, DEPT OF COLON AND RECTAL SURGERY, WASHINGTON, DC 200103017 (Tel: 2028778484)

👤

Provider Name / Credentials Updated June 17, 2015

Recorded as LUIS HERNANDEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2015

Surgery (License #TRN 13872 in FL)

🟢

Initial NPI Registration & Enumeration March 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205078649

Entity Type:

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

Enumeration Date: March 31, 2009

Last Update: August 07, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9500 S Dadeland Blvd, 200

Miami, FL 33156

Phone: 3054684185

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

⚠️ Medical Disclaimer

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