Miguel Hernandez, M.D.
NPI 1376643213 · Family Medicine Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miguel Hernandez, M.D. is a Family Medicine Physician provider in Modesto, CA (NPI 1376643213).
Provider details
- NPI number
- 1376643213
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A67811 (CA)
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
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
472 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 147 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 128 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 117 | $93 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 80 | $132 |
Typical Medicare-allowed amounts for these services range $16–$132 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 169 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,043 | 336 |
| Metformin Hcl | 661 | 213 |
| Lisinopril | 553 | 183 |
| Amlodipine Besylate | 473 | 139 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 449 | 88 |
| Losartan Potassium | 424 | 127 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,462 across 100 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
- 2006-09-22
- Last updated
- 2012-03-09
Frequently asked questions
- What is Miguel Hernandez's NPI number?
- Miguel Hernandez's National Provider Identifier (NPI) is 1376643213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miguel Hernandez's specialty?
- Miguel Hernandez is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Miguel Hernandez located?
- Miguel Hernandez's practice location on file with NPPES is 1448 Florida Ave, Modesto, CA 95350-4424.
- What is Miguel Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Miguel Hernandez is (209) 523-1884.
- Does Miguel Hernandez accept Medicare?
- Miguel Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miguel Hernandez's NPI active?
- Yes — Miguel Hernandez's NPI (1376643213) is active in the NPPES registry as of the last update on 2012-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.