Active NPI 1982779740 Individual Practitioner Female Practitioner

Dr. Lydia Hernandez , MD

Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lydia Hernandez, MD is a certified Surgery practicing in Cincinnati, OH. With approximately 37 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1989, Dr. Hernandez delivers high-quality medical care to the local community at 4030 SMITH RD STE 300.

Dr. Hernandez is affiliated with Oncology Hematology Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, screening mammography, screening digital tomography of both breasts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4030 Smith Rd Ste 300

Cincinnati, OH 452091974

Telephone 5137512273

Fax 5137511848

Associated Practice Facility / Clinic

🏢 Oncology Hematology Care Inc Facility NPI 1538974829

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +13.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

96 Specialists

Practicing in Cincinnati, OH (1313 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (37 Years) 37 Yrs

Cincinnati Specialty Average (23.3 Years) 23.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	343	$170.00	$122.61
99213 Established patient office or other outpatient visit, typically 15 minutes	281	279	$117.00	$87.31
77067 Screening mammography	197	197	$255.00	$113.37
77063 Screening digital tomography of both breasts	196	196	$100.00	$46.91
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	64	61	$23.66	$17.50
76642 Limited ultrasound scan of 1 breast	44	37	$95.46	$61.25
77066 Diagnostic mammography of both breasts	34	34	$127.68	$101.67
77065 Diagnostic mammography of 1 breast	30	30	$83.67	$78.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$250.00	$157.95
19301 Partial removal of breast	20	17	$1168.10	$609.26
76641 Complete ultrasound scan of 1 breast	16	16	$159.87	$86.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$349.00	$214.10
38900 Lymph node imaging during surgery	12	12	$253.00	$140.70
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$804.33	$226.18
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1075.00	$434.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$233.00	$152.45

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	383	317	$169.72	$121.85
77067 Screening mammography	312	312	$255.00	$116.01
77063 Screening digital tomography of both breasts	311	311	$100.00	$48.51
99213 Established patient office or other outpatient visit, typically 15 minutes	297	296	$117.00	$87.18
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	53	50	$50.00	$41.74
76642 Limited ultrasound scan of 1 breast	49	47	$156.48	$81.59
77066 Diagnostic mammography of both breasts	29	29	$255.43	$133.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$250.00	$161.90
77065 Diagnostic mammography of 1 breast	24	24	$173.67	$106.45
19301 Partial removal of breast	19	19	$1148.00	$655.79
38900 Lymph node imaging during surgery	18	17	$253.00	$136.17
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	14	$772.00	$225.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$349.00	$213.89
19303 Total removal of breast	12	12	$1958.50	$1008.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	306	$117.00	$88.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	269	$170.00	$124.02
77063 Screening digital tomography of both breasts	128	128	$100.00	$49.01
77067 Screening mammography	128	128	$255.00	$117.99
19301 Partial removal of breast	25	21	$1180.16	$662.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$250.00	$164.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$789.64	$227.99
38900 Lymph node imaging during surgery	22	22	$253.00	$140.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	20	20	$62.00	$51.24
77065 Diagnostic mammography of 1 breast	18	18	$220.00	$121.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$233.00	$175.30
76642 Limited ultrasound scan of 1 breast	14	14	$160.00	$82.44
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	$349.00	$203.57

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	389	350	$170.00	$127.44
99213 Established patient office or other outpatient visit, typically 15 minutes	250	247	$117.00	$89.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$250.00	$160.63
19301 Partial removal of breast	21	18	$1148.00	$647.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$233.00	$171.34
38900 Lymph node imaging during surgery	17	17	$253.00	$142.08
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$797.87	$224.26
76641 Complete ultrasound scan of 1 breast	14	12	$164.00	$103.12
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1075.00	$556.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$111.02

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	651	595	$170.00	$106.45
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$117.00	$73.76
19301 Partial removal of breast	31	24	$1148.00	$639.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$250.00	$162.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$349.00	$205.99
38900 Lymph node imaging during surgery	16	16	$253.00	$144.85
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$772.00	$224.68
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1075.00	$583.06

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	568	505	$169.15	$104.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$244.35	$159.32
19301 Partial removal of breast	22	16	$1148.00	$600.66
38900 Lymph node imaging during surgery	18	18	$253.00	$141.10
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$772.00	$219.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$349.00	$202.10

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	528	483	$162.19	$103.18
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$117.00	$70.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$349.00	$196.03
19301 Partial removal of breast	28	23	$1148.00	$520.09
38900 Lymph node imaging during surgery	21	21	$253.00	$132.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$167.00	$103.97
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$772.00	$210.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$159.31

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	514	465	$173.00	$102.48
99213 Established patient office or other outpatient visit, typically 15 minutes	59	58	$117.00	$69.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$181.00	$103.69

Medical Specialties & State Licenses

CMS Verified: 2026-04-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.061077

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

0919975 (OH)

Medicaid State Provider ID

64045826 (KY)

Commercial Insurance / Payer ID United Health Care

1701159

Commercial Insurance / Payer ID Blue Cross Blue Shield

000000038067 (OH)

Hospital & Practice Group Affiliations

Oncology Hematology Care Inc

4030 Smith Rd, Cincinnati, OH 452091974

Phone: 8886494800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Marc Mosbacher , MD

Radiology - Radiation Oncology

NPI 1003800400

Doctor of Medicine (M.D.)

Dr. Prasad Kudalkar , MD

Internal Medicine - Hematology & Oncology

NPI 1013094382

Doctor of Medicine (M.D.)

Sara Slaughter , CNP

Nurse Practitioner

NPI 1013224807

Certified Nurse Practitioner

Samantha Braun , APRN

Nurse Practitioner - Family

NPI 1013636380

Advanced Practice Registered Nurse

Dr. Michael Cross , MD

Radiology - Radiation Oncology

NPI 1023001823

Doctor of Medicine (M.D.)

Dr. Ajit Gubbi , DO

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1023273687

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address April 09, 2026

Registered at 5053 WOOSTER RD, CINCINNATI, OH 452262326 (Tel: 5137512273)

📍

Updated Practice Location February 18, 2025

Registered at 4030 SMITH RD STE 300, CINCINNATI, OH 452091974 (Tel: 5137512273)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2025

Surgery (License #35.061077 in OH)

✅

NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2016

Registered at 4850 RED BANK RD, SUITE 311, CINCINNATI, OH 452271545 (Tel: 5132212544)

📍

Updated Business Mailing Address January 13, 2016

Registered at 2060 READING RD, SUITE 150, CINCINNATI, OH 452021454 (Tel: 5137213200)

👤

Provider Name / Credentials Updated January 13, 2016

Recorded as LYDIA HERNANDEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Surgery (License #061077 in OH)

🟢

Initial NPI Registration & Enumeration November 21, 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: 1982779740

Entity Type:

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

Enumeration Date: November 21, 2006

Last Update: April 09, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5053 Wooster Rd

Cincinnati, OH 452262326

Phone: 5137512273

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.