DR. JORGE HERNANDEZ (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1104069079

DR. JORGE HERNANDEZ (DPM) is a healthcare provider. based in Weston, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3424 (FL). The NPI Number for DR. JORGE HERNANDEZ (DPM) is 1104069079

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORGE HERNANDEZ (DPM)
NPI
1104069079
Phone
(954) 328-9770
Address
2701 EXECUTIVE PARK DR STE 3
Enumeration Date
8 April 2009
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9543289770
Graduation Year
2008 (18 years ago)
PAC ID
7315197555
Professional Enrollment ID
I20121023000826
Address ID
FL333313632WE2701XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. JORGE HERNANDEZ (DPM)

  • 2701 EXECUTIVE PARK DR STE 3

    WESTON, FL 333313632

    Phone: (954) 328-9770

    Fax: (954) 212-9817

    Type: Location

  • 3410 W 84th St Ste 100

    Hialeah, FL 330184906

    Phone: (305) 667-5683

    Fax: (305) 826-7774

    Type: Location

  • West 84th Street, Hialeah, Miami-Dade County, Florida, 33016, United States

    HIALEAH, FL 330184906

    Phone: (305) 667-5683

    Fax: (305) 826-7774

    Type: Location

  • Southwest 26th Street, Miramar, Broward County, Florida, 33023, United States

    MIRAMAR, FL 330273875

    Phone: (954) 328-9770

    Fax: (954) 212-9817

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $561.

Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Stryker Corporation ($264).

Total Amount

$561

General + Research + Ownership

Payments

10

Total payment records

General Amount

$561

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121023000826IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7722$0
11721Removal of fingernails or toenails, 6 or more nails7120$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 33331)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. JORGE HERNANDEZ (DPM)'s NPI?
Yes. DR. JORGE HERNANDEZ (DPM) is listed with NPI 1104069079 in the public NPI dataset.
Is DR. JORGE HERNANDEZ (DPM) listed as active for patients and plans?
The listing shows DR. JORGE HERNANDEZ (DPM) as active in the NPI system.
What is DR. JORGE HERNANDEZ (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for DR. JORGE HERNANDEZ (DPM) here. Clinical services aligned with this taxonomy classification.
What area does DR. JORGE HERNANDEZ (DPM) serve?
DR. JORGE HERNANDEZ (DPM)'s listing highlights Weston, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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