Active NPI 1881679421 Individual Practitioner Male Practitioner

Dr. Mark A Hernandez , MD

Internal Medicine • Pinecrest, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Hernandez, MD is a certified Internal Medicine practicing in Pinecrest, FL. With approximately 27 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1999, Dr. Hernandez delivers high-quality medical care to the local community at 9619 S DIXIE HWY.

Dr. Hernandez maintains professional affiliations with Baptist Health Medical Group Physicians Llc, South Miami Inpatient Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9619 S Dixie Hwy

Pinecrest, FL 331562804

Telephone 7868821919

Fax 7862063161

Associated Practice Facility / Clinic

🏢 South Dade Transitional Care Group Llc Facility NPI 1033775036

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pinecrest, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +8.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Pinecrest, FL (10650 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (27 Years) 27 Yrs

Pinecrest Specialty Average (18.9 Years) 18.9 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,232	180	$129.56	$52.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	710	190	$223.12	$82.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	205	194	$383.14	$138.87
99238 Hospital discharge day management, 30 minutes or less	144	135	$189.67	$84.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	83	$474.44	$181.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,255	154	$125.13	$54.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	766	182	$208.53	$84.82
99238 Hospital discharge day management, 30 minutes or less	210	199	$172.79	$86.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	136	132	$340.27	$140.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	121	$495.63	$185.79
99284 Emergency department visit with moderate level of medical decision making	15	12	$160.00	$133.93
99285 Emergency department visit for life threatening or functioning severity	12	12	$237.00	$196.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,285	168	$125.21	$42.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,157	203	$215.30	$75.93
99238 Hospital discharge day management, 30 minutes or less	170	155	$197.06	$76.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	114	110	$398.66	$147.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	95	$576.39	$212.34
99220 Hospital observation care, typically 70 minutes	69	68	$245.00	$192.13
99217 Hospital observation care on day of discharge	51	50	$97.00	$76.55
99225 Subsequent observation care, typically 25 minutes per day	23	19	$95.00	$76.52
99239 Hospital discharge day management, more than 30 minutes	13	13	$321.06	$105.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,000	163	$124.09	$41.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	934	196	$212.90	$77.94
99238 Hospital discharge day management, 30 minutes or less	155	153	$184.06	$77.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	109	$376.17	$148.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	106	$544.62	$215.44
99220 Hospital observation care, typically 70 minutes	59	58	$249.29	$197.13
99217 Hospital observation care on day of discharge	30	30	$97.00	$77.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,692	227	$123.81	$43.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,069	212	$215.24	$78.97
99238 Hospital discharge day management, 30 minutes or less	188	177	$192.00	$79.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	154	148	$393.73	$153.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	108	$556.53	$222.67
99220 Hospital observation care, typically 70 minutes	61	57	$249.15	$203.77
99217 Hospital observation care on day of discharge	33	32	$100.78	$77.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	26	$324.84	$113.44
99239 Hospital discharge day management, more than 30 minutes	21	21	$321.06	$116.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	623	98	$139.90	$42.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	371	107	$185.46	$78.83
99238 Hospital discharge day management, 30 minutes or less	107	105	$155.18	$78.77
99220 Hospital observation care, typically 70 minutes	98	90	$257.91	$200.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	71	$376.37	$149.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$417.35	$219.29
99217 Hospital observation care on day of discharge	60	55	$107.39	$78.78
99225 Subsequent observation care, typically 25 minutes per day	18	12	$121.67	$79.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,618	210	$187.09	$40.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	596	211	$207.28	$75.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	195	186	$385.07	$141.57
99238 Hospital discharge day management, 30 minutes or less	135	129	$134.45	$75.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	76	$318.08	$213.04
99220 Hospital observation care, typically 70 minutes	39	39	$264.41	$192.40
99217 Hospital observation care on day of discharge	31	31	$105.74	$76.66
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	18	18	$217.67	$178.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$65.91	$55.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,147	169	$194.03	$40.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	470	169	$215.50	$73.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	112	$416.74	$208.17
99238 Hospital discharge day management, 30 minutes or less	94	93	$123.14	$74.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	83	$365.38	$140.31
99220 Hospital observation care, typically 70 minutes	21	21	$213.00	$193.96
99217 Hospital observation care on day of discharge	16	16	$84.00	$76.00

Medical Specialties & State Licenses

CMS Verified: 2024-11-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME84218

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License FL ME84218

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

268126900 (FL)

Commercial Insurance / Payer ID Rarilroad Medicare

P00191950 (FL)

Commercial Insurance / Payer ID Wellcare

N220840 (FL)

Commercial Insurance / Payer ID Bcbs

13085 (FL)

Hospital & Practice Group Affiliations

Baptist Health Medical Group Physicians Llc

6200 Sw 72nd St Mci Benign Urology, South Miami, FL 331434831

Phone: 7865962000

Baptist Health Medical Group Physicians Llc

8900 N Kendall Dr, Miami, FL 331762118

Baptist Health Medical Group Physicians Llc

6200 Sunset Dr, South Miami, FL 331434831

Phone: 7866628928

South Miami Inpatient Physicians

975 Baptist Way, Homestead, FL 330337600

Phone: 7866625465

Baptist Health Medical Group Physicians Llc

6200 Sw 72 St, South Miami, FL 331434831

Phone: 7866620600

Baptist Health Medical Group Physicians Llc

9555 Sw 162nd Ave, Miami, FL 331966408

Phone: 7864672000

Secondary Practice Locations

975 Baptist Way

Homestead, FL 330337600

Phone: 7862438073

Practice Associates & Co-Workers

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

3 Associated Practitioners

Ayaiza Fernandez , RN

Registered Nurse

NPI 1427856269

Registered Nurse

Dr. Francisco Fernandez , DO

Internal Medicine

NPI 1629053921

Doctor of Osteopathic Medicine (D.O.)

Dr. Abelardo Corona , MD

Internal Medicine

NPI 1679558423

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location November 05, 2024

Registered at 9619 S DIXIE HWY, PINECREST, FL 331562804 (Tel: 7868821919)

📍

Updated Business Mailing Address November 05, 2024

Registered at PO BOX 165154, MIAMI, FL 331165154 (Tel: 7868821919)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Hospitalist (License #ME84218 in FL)

📍

Updated Practice Location September 18, 2020

Registered at 975 BAPTIST WAY, HOMESTEAD, FL 330337600 (Tel: 7862438073)

📍

Updated Business Mailing Address September 18, 2018

Registered at 975 BAPTIST WAY, HOMESTEAD, FL 330337600 (Tel: 7862438073)

✅

NPI Profile Active May 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2008

Registered at 999 PONCE DE LEON BLVD, SUITE 930, CORAL GABLES, FL 331343000 (Tel: 3054420028)

📍

Updated Business Mailing Address May 23, 2008

Registered at 999 PONCE DE LEON BLVD, SUITE 930, CORAL GABLES, FL 331343000 (Tel: 3054420028)

👤

Provider Name / Credentials Updated May 23, 2008

Recorded as MARK HERNANDEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2008

Internal Medicine (License #ME84218 in FL)

🟢

Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mark Hernandez. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881679421

Entity Type:

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

Enumeration Date: December 07, 2005

Last Update: November 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 165154

Miami, FL 331165154

Phone: 7868821919

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.