Active NPI 1851513089 Individual Practitioner Male Practitioner

Dr. Thomas Hernandez , MD

Orthopaedic Surgery • Dixon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Hernandez, MD is a certified Orthopaedic Surgery practicing in Dixon, IL. With approximately 23 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2003, Dr. Hernandez delivers high-quality medical care to the local community at 215 E 1ST ST STE 326.

Dr. Hernandez is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, 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

215 E 1st St Ste 326

Dixon, IL 610213190

Telephone 8152855800

Fax 8152855691

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Dixon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -7.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Dixon, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (23 Years) 23 Yrs

Dixon Specialty Average (30.5 Years) 30.5 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	313	210	$49.41	$49.50
20610 Aspiration and/or injection of fluid from large joint	290	151	$111.63	$48.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	58	$29.00	$30.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$93.18	$90.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$58.00	$60.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$68.00	$70.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$235.00	$135.20
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$5272.00	$1236.34
27447 Replacement of knee joint, both sides of knee	11	11	$5530.00	$929.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	217	$47.49	$46.43
20610 Aspiration and/or injection of fluid from large joint	253	146	$106.19	$51.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$86.95	$86.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	58	$29.00	$28.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	49	$66.88	$66.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$58.00	$57.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$282.23	$128.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	247	148	$109.64	$52.64
99213 Established patient office or other outpatient visit, typically 15 minutes	222	154	$48.47	$47.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	109	$30.02	$28.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$59.80	$58.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$76.12	$64.45
20550 Injection into tendon or ligament	15	12	$81.93	$35.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$105.36	$82.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	224	132	$119.52	$45.66
99213 Established patient office or other outpatient visit, typically 15 minutes	215	146	$52.12	$48.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	77	$32.78	$30.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$69.52	$65.29
99213 Established patient office or other outpatient visit, typically 15 minutes	56	45	$60.13	$56.23
20610 Aspiration and/or injection of fluid from large joint	50	39	$190.99	$42.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$48.72	$35.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$116.65	$110.44
20550 Injection into tendon or ligament	17	13	$83.71	$38.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$76.20	$73.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$516.31	$134.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	266	186	$47.23	$26.30
20610 Aspiration and/or injection of fluid from large joint	259	155	$230.25	$51.92
99213 Established patient office or other outpatient visit, typically 15 minutes	144	123	$55.88	$51.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$154.26	$130.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$107.20	$77.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$77.58	$69.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$540.50	$140.07
20550 Injection into tendon or ligament	14	11	$143.00	$38.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	202	137	$233.24	$58.81
99213 Established patient office or other outpatient visit, typically 15 minutes	195	152	$58.61	$53.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	144	$47.19	$33.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	71	$47.95	$25.27
20610 Aspiration and/or injection of fluid from large joint	65	61	$233.38	$53.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$103.88	$89.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$89.82	$82.61
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$57.00	$50.84
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$396.00	$101.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$105.08	$76.20
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$4211.62	$181.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$150.00	$138.09
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$7522.00	$1068.84
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$8572.00	$1256.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	243	147	$220.53	$49.20
99213 Established patient office or other outpatient visit, typically 15 minutes	229	177	$57.66	$49.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	145	$47.18	$25.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$100.97	$74.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$89.58	$74.42
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$396.00	$97.70
20550 Injection into tendon or ligament	19	16	$143.00	$34.63
64721 Release and/or relocation of hand nerve	13	12	$4599.00	$412.31
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$81.00	$48.66
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$8572.00	$1205.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	248	141	$225.54	$50.48
99213 Established patient office or other outpatient visit, typically 15 minutes	187	134	$57.20	$50.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	118	$47.66	$25.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$101.69	$77.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	55	$88.04	$77.15
27447 Replacement of knee joint, both sides of knee	21	20	$12071.00	$547.87
20550 Injection into tendon or ligament	17	12	$159.82	$37.73
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$396.00	$100.59
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$81.00	$49.95

Medical Specialties & State Licenses

CMS Verified: 2024-11-20

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036-129768

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NUCC Taxonomy Code: 207XP3100X

State License GA BM6733807-R49

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License IL 036-129768

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036129768 (IL)

Commercial Insurance / Payer ID Medicare

381220030 (IL)

Commercial Insurance / Payer ID Temp Residency Training #

BM6733807-R49 (GA)

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

102 S Hennepin Ave, Dixon, IL 610213013

Phone: 8152887711

Osf Multi-Specialty Group

403 E 1st St, Dixon, IL 610213116

Phone: 8152885531

Osf Multi-Specialty Group

215 E 1st St, Dixon, IL 610213166

Phone: 8152885531

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Secondary Practice Locations

1120 15th St, Dept Of Orthopaedics

Augusta, GA 309120004

Phone: 7067211801

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Stephen Gabriel , MD

Orthopaedic Surgery

NPI 1255302568

Doctor of Medicine (M.D.)

Dr. Xamnan Tulyasathien , MD

Orthopaedic Surgery

NPI 1497723258

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 23, 2018

Registered at 215 E 1ST ST STE 326, DIXON, IL 610213190 (Tel: 8152855800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2018

Orthopaedic Surgery (License #BM6733807-R49 in GA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1120 15TH ST, DEPT OF ORTHOPAEDICS, AUGUSTA, GA 309120004 (Tel: 7067211801)

📍

Updated Business Mailing Address July 08, 2007

Registered at 337 OLD SALEM WAY, MARTINEZ, GA 309079081 (Tel: 7062101825)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS HERNANDEZ, M.D.

🎓

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

Orthopaedic Surgery

🟢

Initial NPI Registration & Enumeration May 03, 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: 1851513089

Entity Type:

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

Enumeration Date: May 03, 2007

Last Update: November 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

337 Old Salem Way

Martinez, GA 309079081

Phone: 7062101825

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.