Paul Hernandez, M.D.
NPI 1609261171 · Colon & Rectal Surgery Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Hernandez, M.D. is a Colon & Rectal Surgery Physician provider in Philadelphia, PA (NPI 1609261171).
Provider details
- NPI number
- 1609261171
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD462210 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 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
81 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) |
|---|---|---|
| Diagnostic Exam of Anus Using an Endoscope46600 | 24 | $43 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 24 | $83 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 20 | $183 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 13 | $135 |
Typical Medicare-allowed amounts for these services range $43–$183 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,176 across 8 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
- 2015-04-01
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Frequently asked questions
- What is Paul Hernandez's NPI number?
- Paul Hernandez's National Provider Identifier (NPI) is 1609261171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Hernandez's specialty?
- Paul Hernandez is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Hernandez located?
- Paul Hernandez's practice location on file with NPPES is 3737 Market Street, Philadelphia, PA 19104-5544.
- What is Paul Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Paul Hernandez is (215) 662-8664.
- Does Paul Hernandez accept Medicare?
- Paul Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Hernandez's NPI active?
- Yes — Paul Hernandez's NPI (1609261171) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.