Rafael Hernandez, M.D.
NPI 1326197047 · Ophthalmology Physician · Miami, FL
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Hernandez, M.D. is a Ophthalmology Physician provider in Miami, FL (NPI 1326197047).
Provider details
- NPI number
- 1326197047
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME 23635 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
334 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 Complete Exam of Visual System92014 | 149 | $135 |
| Photography of the Retina92250 | 87 | $40 |
| Established Patient Problem Focused Exam of Visual System92012 | 33 | $96 |
| New Patient Complete Exam of Visual System92004 | 26 | $158 |
| Imaging of Optic Nerve92133 | 21 | $39 |
| Imaging of Retina92134 | 18 | $43 |
Typical Medicare-allowed amounts for these services range $39–$158 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 783 | 153 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 256 | 62 |
| Erythromycin Basebrand: Erythromycin | 228 | 113 |
| Timolol Maleate | 190 | 38 |
| Bimatoprostbrand: Lumigan | 126 | 25 |
| Prednisolone Acetate | 86 | 64 |
| Ofloxacin | 78 | 64 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$415 across 15 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
- 2007-01-10
- Last updated
- 2018-09-12
Frequently asked questions
- What is Rafael Hernandez's NPI number?
- Rafael Hernandez's National Provider Identifier (NPI) is 1326197047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Hernandez's specialty?
- Rafael Hernandez is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Hernandez located?
- Rafael Hernandez's practice location on file with NPPES is 1385 Coral Way, Miami, FL 33145-2941.
- What is Rafael Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Rafael Hernandez is (305) 854-3307.
- Does Rafael Hernandez accept Medicare?
- Rafael Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Hernandez's NPI active?
- Yes — Rafael Hernandez's NPI (1326197047) is active in the NPPES registry as of the last update on 2018-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.