Active NPI 1366536799 Individual Practitioner Male Practitioner

Dr. Jose P. Hernandez-Gala , MD

Specialist • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Hernandez-Gala, MD is a certified Specialist practicing in Miami, FL. With approximately 56 years of clinical experience since completing medical education in 1970, Dr. Hernandez-Gala delivers high-quality medical care to the local community at 1235 SW 27 AVENUE.

Dr. Hernandez-Gala accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1235 Sw 27 Avenue

Miami, FL 33135

Telephone 3056424680

Fax 3056424773

Medicare Profile & Education

Medical School

Other

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

56 Yrs +14.5 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

In-Person Office Visits Only

Medicare Pricing Discount

44.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez-Gala (56 Years) 56 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
99213 Established patient office or other outpatient visit, typically 15 minutes	94	22	$218.15	$95.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	17	$250.00	$134.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	15	$282.50	$190.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	34	$196.29	$95.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	28	$225.00	$135.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	15	$253.26	$189.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	34	$184.77	$97.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	32	$200.00	$136.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	24	$250.00	$194.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$153.81	$61.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$221.43	$138.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	36	$183.86	$99.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	35	$199.90	$140.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	19	$250.00	$196.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	36	$184.44	$81.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	36	$200.00	$117.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$222.00	$123.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	17	$245.45	$158.13

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	254	49	$200.00	$115.74
99213 Established patient office or other outpatient visit, typically 15 minutes	68	24	$184.44	$79.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	30	$247.30	$155.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$207.14	$123.10

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	291	54	$199.95	$111.51
99213 Established patient office or other outpatient visit, typically 15 minutes	46	19	$183.70	$75.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	30	$250.00	$151.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$226.39	$120.32

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	336	61	$200.15	$110.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$200.00	$118.89
99213 Established patient office or other outpatient visit, typically 15 minutes	38	18	$172.76	$75.40

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL 0026136

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

059388500 (FL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2009

Registered at 1235 SW 27 AVENUE, MIAMI, FL 33135 (Tel: 3056424680)

📍

Updated Business Mailing Address December 18, 2009

Registered at 539 NW 130 AVENUE, MIAMI, FL 33182 (Tel: 3056424680)

👤

Provider Name / Credentials Updated December 18, 2009

Recorded as JOSE HERNANDEZ-GALA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2009

Specialist (License #0026136 in FL)

🟢

Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366536799

Entity Type:

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

Enumeration Date: October 02, 2006

Last Update: December 18, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

539 Nw 130 Avenue

Miami, FL 33182

Phone: 3056424680

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.