Active NPI 1295856193 Individual Practitioner Male Practitioner

Dr. Alfredo Jesus Hernandez , MD

Specialist • Miami, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Alfredo Hernandez, MD is a certified Specialist practicing in Miami, FL. With approximately 26 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 2000, Dr. Hernandez delivers high-quality medical care to the local community at 3661 S MIAMI AVE.

Dr. Hernandez is affiliated with Gastro Health, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3661 S Miami Ave
Suite 805

Miami, FL 331334236

Telephone 3058567333

Fax 3058568030

Associated Practice Facility / Clinic

🏢 Neuro Diagnosis Inc. Facility NPI 1215966940

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -15.5 yrs vs City Avg

City Avg: 41.5 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

253 Specialists

Practicing in Miami, FL (3036 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

82.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (26 Years) 26 Yrs

Miami Specialty Average (41.5 Years) 41.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	67	$348.00	$133.90
99213 Established patient office or other outpatient visit, typically 15 minutes	71	61	$237.00	$93.83
45380 Biopsy of large bowel using an endoscope	70	69	$1500.00	$121.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	69	65	$1362.00	$105.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	45	$1426.00	$265.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$358.00	$119.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$542.00	$177.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	136	$348.00	$134.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	111	58	$344.00	$129.61
45380 Biopsy of large bowel using an endoscope	81	78	$1498.06	$114.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	81	76	$1173.95	$112.36
99213 Established patient office or other outpatient visit, typically 15 minutes	75	60	$237.00	$88.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	60	$670.00	$188.77
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	50	$1426.00	$279.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$542.00	$181.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$358.00	$115.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$237.00	$86.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	114	$237.00	$94.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	118	$348.00	$135.69
45380 Biopsy of large bowel using an endoscope	74	74	$1343.00	$95.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	71	$1124.00	$117.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	56	$1426.00	$286.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	34	$344.00	$110.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$358.00	$122.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	24	$237.00	$77.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	27	$670.00	$213.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$455.00	$148.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$542.00	$183.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	145	$237.00	$99.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	98	94	$1124.00	$112.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	78	$348.00	$141.34
45380 Biopsy of large bowel using an endoscope	92	92	$1343.00	$130.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	54	$455.00	$149.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$358.00	$122.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	53	53	$1426.00	$284.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	310	175	$237.00	$81.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	76	$455.00	$155.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	56	$348.00	$117.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$1124.00	$132.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$358.00	$118.30
45380 Biopsy of large bowel using an endoscope	49	48	$1343.00	$127.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	34	$1426.00	$288.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$237.00	$79.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	192	$348.00	$116.19
45380 Biopsy of large bowel using an endoscope	101	100	$1343.00	$134.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	84	$1124.00	$119.16
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	55	51	$1426.00	$291.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$358.00	$117.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	43	$455.00	$151.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	20	$237.00	$79.75
45378 Diagnostic exam of large bowel using a flexible endoscope	14	13	$1063.00	$213.78
45381 Injection beneath lining of large bowel using a flexible endoscope	12	11	$1284.00	$34.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	211	$348.00	$113.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	95	$1124.00	$121.71
45380 Biopsy of large bowel using an endoscope	95	95	$1343.61	$128.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$358.00	$118.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	52	$1426.00	$296.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$455.00	$149.81
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$237.00	$77.90
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$1284.00	$37.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	149	$342.37	$110.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	120	115	$1056.20	$115.38
45380 Biopsy of large bowel using an endoscope	97	96	$1277.79	$143.51
99213 Established patient office or other outpatient visit, typically 15 minutes	69	67	$128.48	$77.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$334.37	$112.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	54	53	$1386.07	$294.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$418.00	$146.76
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1041.55	$215.84

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME0087519

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.

Hospital & Practice Group Affiliations

Gastro Health, Llc

3661 S Miami Ave, Miami, FL 331334214

Phone: 3058567333

Practice Associates & Co-Workers

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

8 Associated Practitioners

Ana Valdes

Nurse Practitioner - Family

NPI 1043799471

Ronal Ricano , PA

Physician Assistant - Medical

NPI 1356677371

Physician Assistant

Yanet Laurencio , APRN

Nurse Practitioner

NPI 1780226175

Advanced Practice Registered Nurse

Dr. Pedro Greer , MD

Specialist

NPI 1780681296

Doctor of Medicine (M.D.)

Ana Morales Martinez , APRN

Nurse Practitioner - Family

NPI 1811711799

Advanced Practice Registered Nurse

Yusvell Mori Gonzalez , APRN

Nurse Practitioner - Family

NPI 1861896391

Advanced Practice Registered Nurse

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 3661 S MIAMI AVE, SUITE 805, MIAMI, FL 331334236 (Tel: 3058567333)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3661 S MIAMI AVE, SUITE 805, MIAMI, FL 331334236 (Tel: 3058567333)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ALFREDO HERNANDEZ, MD

🎓

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

Specialist (License #ME0087519 in FL)

🟢

Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295856193

Entity Type:

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

Enumeration Date: April 02, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3661 S Miami Ave, Suite 805

Miami, FL 331334236

Phone: 3058567333

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.