Richard Hernandez
NPI 1235104167 · Gastroenterology Physician · Miami, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Hernandez is a Gastroenterology Physician provider in Miami, FL (NPI 1235104167).
Provider details
- NPI number
- 1235104167
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME0043730 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
346 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 160 | $94 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 51 | $261 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 36 | $117 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 31 | $134 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 29 | $103 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 778 | 225 |
| Pantoprazole Sodium | 197 | 69 |
| Famotidine | 180 | 59 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 116 | 111 |
| Esomeprazole Magnesium | 57 | 21 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 52 | 49 |
| Mesalamine | 48 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$617 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2020-08-27
- Certified
- 2020-08-27
Frequently asked questions
- What is Richard Hernandez's NPI number?
- Richard Hernandez's National Provider Identifier (NPI) is 1235104167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Hernandez's specialty?
- Richard Hernandez is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Hernandez located?
- Richard Hernandez's practice location on file with NPPES is 7765 Sw 87th Ave, Miami, FL 33173-2596.
- What is Richard Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Richard Hernandez is (305) 274-0808.
- Does Richard Hernandez accept Medicare?
- Richard Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Hernandez's NPI active?
- Yes — Richard Hernandez's NPI (1235104167) is active in the NPPES registry as of the last update on 2020-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.