DR. JUAN C HERNANDEZ (M.D.) – Family Medicine Physician, NPI 1780650176

DR. JUAN C HERNANDEZ (M.D.) is a healthcare provider. based in Dixon, Illinois. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-112949 (IL). The NPI Number for DR. JUAN C HERNANDEZ (M.D.) is 1780650176

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN C HERNANDEZ (M.D.)
NPI
1780650176
Phone
(815) 285-5552
Address
403 E 1st St
Enumeration Date
24 February 2006
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152887711
Graduation Year
1993 (33 years ago)
PAC ID
3577500503
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20050412000518
Address ID
IL610213013DI102XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. JUAN C HERNANDEZ (M.D.)

  • 403 E 1st St

    Dixon, IL 610213116

    Phone: (815) 285-5552

    Type: Location

  • 102, South Hennepin Avenue, Dixon, Dixon Township, Lee County, Illinois, 61021, United States

    DIXON, IL 61021

    Phone: (815) 288-7711

    Fax: (815) 285-8922

    Type: Mailing

  • 102, South Hennepin Avenue, Dixon, Lee County, Illinois, 61021, United States

    DIXON, IL 61021

    Phone: (815) 288-7711

    Fax: (815) 285-8922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $734.

Total Amount is formed as General ($734) + Research ($0) + Ownership ($0) = $734.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($195).

Total Amount

$734

General + Research + Ownership

Payments

41

Total payment records

General Amount

$734

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-04-12

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
I20050412000518IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes900370$0
99215Established patient office or other outpatient visit, 40-54 minutes135105$0
G0444Annual depression screening, 5 to 15 minutes2626$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit2424$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678889789View full group profile

Reviews

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Frequently asked questions

How is DR. JUAN C HERNANDEZ (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JUAN C HERNANDEZ (M.D.) with NPI 1780650176.
Can I rely on DR. JUAN C HERNANDEZ (M.D.) being an active provider?
As of the registry snapshot, DR. JUAN C HERNANDEZ (M.D.) is marked active.
What is DR. JUAN C HERNANDEZ (M.D.)'s specialty?
The listing groups DR. JUAN C HERNANDEZ (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JUAN C HERNANDEZ (M.D.) list a practice location?
Patients near Dixon, Illinois may find DR. JUAN C HERNANDEZ (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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