Mark Hernandez, M.D.
NPI 1457416224 · Family Medicine Physician · Sandpoint, ID
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Hernandez, M.D. is a Family Medicine Physician provider in Sandpoint, ID (NPI 1457416224).
Provider details
- NPI number
- 1457416224
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M6092 (ID)
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
4,140 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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 1,648 | $39 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 460 | $118 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 433 | $9 |
| Manual Urinalysis Test With Examination Using Microscope, Non-Automated81000 | 208 | $4 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 151 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 79 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 189 | 51 |
| Rosuvastatin Calcium | 184 | 53 |
| Lisinopril | 175 | 51 |
| Amlodipine Besylate | 163 | 43 |
| Levothyroxine Sodium | 149 | 39 |
| Losartan Potassium | 113 | 31 |
| Tamsulosin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$240 across 12 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
- 2006-12-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Hernandez's NPI number?
- Mark Hernandez's National Provider Identifier (NPI) is 1457416224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Hernandez's specialty?
- Mark Hernandez is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Hernandez located?
- Mark Hernandez's practice location on file with NPPES is 302 S 1st Ave, Sandpoint, ID 83864-1258.
- What is Mark Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Mark Hernandez is (208) 263-5109.
- Does Mark Hernandez accept Medicare?
- Mark Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Hernandez's NPI active?
- Yes — Mark Hernandez's NPI (1457416224) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.