Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023167681 Individual Practitioner Male Practitioner

Dr. Rafael Hernandez , MD

Ophthalmology • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Hernandez, MD is a certified Ophthalmology practicing in Miami, FL. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Hernandez delivers high-quality medical care to the local community at 1385 CORAL WAY.

Dr. Hernandez is affiliated with Rafael M Hernandez Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1385 Coral Way
3rd Floor

Miami, FL 331452941

Telephone 3058543307
Fax 3058543130
Associated Practice Facility / Clinic
🏢 Rafael M Hernandez Md Pa Facility NPI 1427263078

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Miami, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +15.8 yrs vs City Avg
City Avg: 23.2 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
234 Specialists

Practicing in Miami, FL (1686 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (39 Years) 39 Yrs
Miami Specialty Average (23.2 Years) 23.2 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
92014 Established patient complete exam of visual system
220 163 $145.00 $134.59
92134 Imaging of retina
59 52 $150.00 $43.47
92250 Photography of the retina
47 45 $95.00 $40.17
92202 Extended exam of the back part of the eye with optic nerve drawing
45 39 $80.00 $16.59
92012 Established patient problem focused exam of visual system
37 28 $125.00 $95.96
92201 Extended exam of the back part of the eye with retinal drawing
35 34 $80.00 $26.99
66984 Removal of cataract with insertion of lens
33 20 $2750.00 $561.82
92004 New patient complete exam of visual system
33 33 $250.00 $159.83
92136 Measurement of corneal curvature and depth of eye
29 18 $250.00 $42.97
92133 Imaging of optic nerve
29 27 $150.00 $38.36

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME69249

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME 69249

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
379517900 (FL)

Hospital & Practice Group Affiliations

Rafael M Hernandez Md Pa

1385 Coral Way, Miami, FL 331452941

Phone: 3058543307

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1326197047

Doctor of Medicine (M.D.)

NPI 1477659654

Doctor of Medicine (M.D.)

NPI 1609925262

Doctor of Medicine (M.D.)

NPI 1740330984

Doctor of Medicine (M.D.)

NPI 1891066973

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1385 CORAL WAY, 3RD FLOOR, MIAMI, FL 331452941 (Tel: 3058543307)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1385 CORAL WAY, 3RD FLOOR, MIAMI, FL 331452941 (Tel: 3058543307)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAFAEL HERNANDEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #ME 69249 in FL)

🟢
Initial NPI Registration & Enumeration January 10, 2007

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: 1023167681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: September 12, 2018
Sole Proprietor: No

Mailing Address

1385 Coral Way, 3rd Floor

Miami, FL 331452941

Phone: 3058543307

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.