Dr. Mark A Hernandez , MD
Internal Medicine • Pinecrest, FL
9619 S Dixie Hwy
Pinecrest, FL 331562804
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Mark Hernandez is listed in NPPES under Internal Medicine.
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NPI assigned on December 7, 2005; this date does not establish years in practice.
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Published CMS data list 2,378 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99231 — Subsequent hospital care with straightforward or low level of medical decision making, per day: 1,232 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 710 service units.
- 99222 — Initial hospital care with straightforward or low-level medical decision making: 205 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Zolpidem Tartrate — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: 687. Middle half: 277 to 1,489.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 3,358 in 2020 to 2,378 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
9619 S Dixie Hwy
Pinecrest, FL 331562804
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Homestead, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Baptist Health Medical Group Physicians Llc; South Miami Inpatient Physicians. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Miami, Lm Miller School Of Medicine
1999
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
338 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $180,039 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $143,402 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
12 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$124 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $73.86 across 2 records.
By nature of payment
- Food and Beverage: $73.86 across 2 records.
Reporting-company totals
- GT Metabolic Solutions Inc: $46.68 across 1 record.
- Smith+Nephew, Inc.: $27.18 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
27 years (graduated 1999)
CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Hernandez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Hernandez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Pinecrest and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: 687. Middle half: 277 to 1,489.
Too few clinicians listed under Internal Medicine in Pinecrest have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: $68,256. Middle half: $27,620 to $138,398.
Too few clinicians listed under Internal Medicine in Pinecrest have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in Florida (2024, 5,815 clinicians with data). Median for this group: $52,728. Middle half: $20,807 to $107,475.
Too few clinicians listed under Internal Medicine in Pinecrest have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Too few clinicians listed under Internal Medicine in Pinecrest have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: $86,865. Middle half: $8,159 to $434,445.
Too few clinicians listed under Internal Medicine in Pinecrest have Medicare Part D data for 2024 to compare.
10 active clinicians are listed under Internal Medicine with a practice address in Pinecrest, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 29% from 3,358 in 2020 to 2,378 in 2024.
- 2020: 3,358
- 2021: 2,396
- 2022: 2,984
- 2023: 2,518
- 2024: 2,378
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Medicare-allowed amount
Medicare-allowed amount decreased 26% from $242,528 in 2020 to $180,039 in 2024.
- 2020: $242,528
- 2021: $179,812
- 2022: $214,328
- 2023: $198,023
- 2024: $180,039
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Paid by Medicare
Paid by Medicare decreased 25% from $192,325 in 2020 to $143,402 in 2024.
- 2020: $192,325
- 2021: $143,364
- 2022: $169,611
- 2023: $156,002
- 2024: $143,402
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 76% from 49 in 2017 to 12 in 2024.
- 2017: 49
- 2018: 437
- 2019: 58
- 2023: 12
- 2024: 12
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30-day fills
30-day fills decreased 76% from 49 in 2017 to 12 in 2024.
- 2017: 49
- 2018: 449
- 2019: 59
- 2023: 12
- 2024: 12
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Part D drug cost
Part D drug cost went from $288 in 2017 to $124 in 2024.
- 2017: $288
- 2018: $13,788
- 2019: $416
- 2023: $118
- 2024: $124
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 93% from $1,074.10 in 2020 to $73.86 in 2025.
- 2020: $1,074.10
- 2021: $198.38
- 2022: $149.49
- 2023: $782.43
- 2025: $73.86
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $73.86.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| GT Metabolic Solutions Inc |
Food and Beverage
Cash or cash equivalent
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— | General | $46.68 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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GRAFIX PL | General | $27.18 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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1,232 | 180 | $129.56 | $52.74 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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710 | 190 | $223.12 | $82.63 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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205 | 194 | $383.14 | $138.87 |
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99238
Hospital discharge day management, 30 minutes or less
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144 | 135 | $189.67 | $84.56 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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87 | 83 | $474.44 | $181.05 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Zolpidem Tartrate | Zolpidem Tartrate | 12 | 360 | $123.81 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-11-05NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20040706000116
FL
2365429735
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Baptist Health Medical Group Physicians Llc
6200 Sw 72nd St Mci Benign Urology, South Miami, FL 331434831
Phone: 7865962000
Baptist Health Medical Group Physicians Llc
8900 N Kendall Dr, Miami, FL 331762118
Baptist Health Medical Group Physicians Llc
6200 Sunset Dr, South Miami, FL 331434831
Phone: 7866628928
South Miami Inpatient Physicians
975 Baptist Way, Homestead, FL 330337600
Phone: 7866625465
Baptist Health Medical Group Physicians Llc
6200 Sw 72 St, South Miami, FL 331434831
Phone: 7866620600
Baptist Health Medical Group Physicians Llc
9555 Sw 162nd Ave, Miami, FL 331966408
Phone: 7864672000
Secondary Practice Locations
975 Baptist Way
Homestead, FL 330337600
Phone: 7862438073
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9619 S DIXIE HWY, PINECREST, FL 331562804 (Tel: 7868821919)
Registered at PO BOX 165154, MIAMI, FL 331165154 (Tel: 7868821919)
Hospitalist (license number reported to NPPES: FL ME84218)
Registered at 975 BAPTIST WAY, HOMESTEAD, FL 330337600 (Tel: 7862438073)
Registered at 975 BAPTIST WAY, HOMESTEAD, FL 330337600 (Tel: 7862438073)
NPI status registered as active in NPPES database
Registered at 999 PONCE DE LEON BLVD, SUITE 930, CORAL GABLES, FL 331343000 (Tel: 3054420028)
Registered at 999 PONCE DE LEON BLVD, SUITE 930, CORAL GABLES, FL 331343000 (Tel: 3054420028)
Recorded as MARK HERNANDEZ, MD
Internal Medicine (license number reported to NPPES: FL ME84218)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Pinecrest
Mailing Address
Po Box 165154
Miami, FL 331165154
Phone: 7868821919