Active NPI 1184651176 Individual Practitioner Male Practitioner

Dr. James Hermenegildo , MD

Surgery • Fall River, MA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Hermenegildo, MD is a certified Surgery practicing in Fall River, MA. With approximately 30 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 1996, Dr. Hermenegildo delivers high-quality medical care to the local community at 1030 PRESIDENT AVE.

Dr. Hermenegildo maintains professional affiliations with Steward Medical Group Inc, Lifespan Physician Group Of Massachusetts Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, established 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

1030 President Ave
Suite 3002

Fall River, MA 027205923

Telephone 5086763411

Fax 5086760932

Associated Practice Facility / Clinic

🏢 Southcoast Physician Services Inc Facility NPI 1104874874

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +0.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Fall River, MA (1077 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hermenegildo (30 Years) 30 Yrs

Fall River Specialty Average (29.3 Years) 29.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	262	89	$224.00	$77.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	145	129	$418.00	$128.69
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$224.00	$91.85
99238 Hospital discharge day management, 30 minutes or less	32	30	$223.00	$80.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$136.00	$55.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$333.00	$112.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$334.00	$129.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$614.00	$170.31
99441 Telephone medical discussion with physician, 5-10 minutes	19	19	$156.00	$56.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$509.00	$168.06
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2208.00	$708.97
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$255.00	$89.47
49650 Repair of groin hernia using an endoscope	13	13	$1699.54	$531.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	279	95	$224.00	$79.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	181	156	$418.00	$129.78
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$224.00	$92.41
99238 Hospital discharge day management, 30 minutes or less	43	38	$223.00	$79.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$333.00	$114.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$614.00	$174.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$334.00	$130.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$136.00	$58.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$509.00	$169.65
99442 Telephone medical discussion with physician, 11-20 minutes	19	17	$255.00	$91.04
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2208.00	$724.39
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	17	17	$1032.47	$241.27
49650 Repair of groin hernia using an endoscope	14	14	$1675.00	$548.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	151	69	$224.00	$72.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	85	$418.00	$137.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$509.00	$173.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	49	$334.00	$133.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$614.00	$202.13
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$224.00	$94.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$333.00	$116.42
99442 Telephone medical discussion with physician, 11-20 minutes	28	27	$255.00	$92.93
99238 Hospital discharge day management, 30 minutes or less	19	19	$223.00	$73.17
49650 Repair of groin hernia using an endoscope	18	18	$1631.94	$505.02
49585 Repair of hernia at navel (5 years or older)	16	16	$1460.00	$335.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2208.00	$745.89
47562 Removal of gallbladder using an endoscope	14	14	$2352.29	$665.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$136.00	$59.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	293	107	$224.00	$72.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	106	$418.00	$138.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	83	$614.00	$205.65
99213 Established patient office or other outpatient visit, typically 15 minutes	81	67	$224.00	$93.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$509.00	$174.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$334.00	$132.82
99238 Hospital discharge day management, 30 minutes or less	35	34	$223.00	$74.38
99442 Telephone medical discussion with physician, 11-20 minutes	32	24	$255.00	$96.05
47562 Removal of gallbladder using an endoscope	26	26	$2311.00	$664.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$333.00	$109.58
49650 Repair of groin hernia using an endoscope	19	19	$1549.05	$501.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$136.00	$59.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$321.00	$106.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$124.00	$39.41
44204 Partial removal of large bowel using an endoscope	11	11	$4731.00	$1597.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	85	$224.00	$75.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	94	$418.00	$144.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	66	$614.00	$209.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$509.00	$174.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$335.48	$113.31
47562 Removal of gallbladder using an endoscope	30	30	$2330.27	$701.17
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$225.11	$79.50
99238 Hospital discharge day management, 30 minutes or less	18	17	$223.00	$76.92
99442 Telephone medical discussion with physician, 11-20 minutes	13	11	$255.00	$79.91
49650 Repair of groin hernia using an endoscope	13	13	$1227.08	$421.95
49585 Repair of hernia at navel (5 years or older)	12	12	$1460.00	$341.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	67	$206.03	$74.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	115	105	$331.81	$141.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	60	$610.81	$206.11
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$201.65	$77.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$457.89	$168.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$304.35	$113.34
47562 Removal of gallbladder using an endoscope	43	43	$2234.70	$693.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$283.20	$109.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$115.43	$47.28
49650 Repair of groin hernia using an endoscope	21	21	$1540.71	$524.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$550.82	$214.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	165	158	$300.00	$132.18
99213 Established patient office or other outpatient visit, typically 15 minutes	76	61	$165.00	$71.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	37	$140.00	$71.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	42	$100.00	$43.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$250.00	$106.57
47562 Removal of gallbladder using an endoscope	36	36	$2050.00	$675.97
49650 Repair of groin hernia using an endoscope	25	25	$2262.00	$526.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$325.00	$161.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$250.00	$105.97
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$180.00	$72.14
44204 Partial removal of large bowel using an endoscope	12	12	$3500.00	$1547.10
49654 Repair of incisional hernia using an endoscope	11	11	$1600.00	$834.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	195	166	$300.00	$130.11
99213 Established patient office or other outpatient visit, typically 15 minutes	88	77	$165.00	$70.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	47	$140.00	$69.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	58	$100.00	$42.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$250.00	$104.34
47562 Removal of gallbladder using an endoscope	49	49	$2050.00	$622.79
49650 Repair of groin hernia using an endoscope	15	15	$1740.00	$442.05
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$180.36	$72.50
49560 Repair of incisional or abdominal hernia	11	11	$2000.00	$582.96

Medical Specialties & State Licenses

CMS Verified: 2026-05-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA MA158476

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

JH45499 (RI)

Medicaid State Provider ID

3185591 (MA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

J19396 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Hc

AA49773 (MA)

Commercial Insurance / Payer ID Cigna

7590960

Commercial Insurance / Payer ID Bmc

000000031922 (MA)

Commercial Insurance / Payer ID Nhp

0026789

Commercial Insurance / Payer ID Swh

003457 (MA)

Commercial Insurance / Payer ID Blue Chip

409760

Commercial Insurance / Payer ID Aetna

1152759

Hospital & Practice Group Affiliations

Lifespan Physician Group Of Massachusetts Inc

851 Middle St, Fall River, MA 027211778

Phone: 5089963991

Steward Medical Group Inc

795 Middle St, Fall River, MA 027211733

Phone: 5086745600

Secondary Practice Locations

680 Centre St

Brockton, MA 023023308

Phone: 5089417000

Practice Associates & Co-Workers

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

26 Associated Practitioners

Dr. Margaret Lee , MD

Obstetrics & Gynecology

NPI 1063478220

Doctor of Medicine (M.D.)

Laurel Gay , PA

Physician Assistant

NPI 1063526986

Physician Assistant

Dr. Henry Vaillancourt , MD

Family Medicine

NPI 1093770059

Doctor of Medicine (M.D.)

Dr. Sean Thomas , MD

Ophthalmology

NPI 1114053717

Doctor of Medicine (M.D.)

Dr. Susanne Matias-Gomes , DO

Obstetrics & Gynecology

NPI 1114150935

Doctor of Osteopathic Medicine (D.O.)

Dr. Ronald Schneider , MD

Dermatology

NPI 1114967643

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 September 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2013

Registered at 1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 027205923 (Tel: 5086763411)

📍

Updated Business Mailing Address September 04, 2013

Registered at 1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 027205923 (Tel: 5086763411)

👤

Provider Name / Credentials Updated September 04, 2013

Recorded as JAMES HERMENEGILDO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Surgery (License #MA158476 in MA)

🟢

Initial NPI Registration & Enumeration June 27, 2006

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: 1184651176

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: May 11, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1030 President Ave, Suite 3002

Fall River, MA 027205923

Phone: 5086763411

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.