Rafael Hernandez Jr., M.D.
NPI 1023167681ActiveIndividual· Ophthalmology· Miami, FL
Ophthalmology (M.D.) with Rafael M Hernandez MD PA, practicing in Miami, Florida. Their prescriptions cost Medicare Part D more than their services did: $326,437 for 4,159 claims, against $61,054 paid for services in 2024. Abbvie Inc. was the largest of 6 companies reporting payments in 2025, $714.95 in all, mostly food and beverage.
Overview
| NPI | 1023167681 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 10, 2007 |
| Last updated in NPPES | Sep 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | ME69249 | FL |
| Specialist | 174400000X | ME 69249 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 206 |
|---|---|
| Services billed | 604 across 21 procedure codes |
| Paid by Medicare | $61,054 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,159 · 6,052 30-day fills |
|---|---|
| Patients | 849 |
| Total drug cost | $326,437 |
| Generic share | 56% of claims |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Ophthalmology |
Medical group
- Rafael M Hernandez MD PAMiami, FL · 4 clinicians
Industry payments (Open Payments)
- 2025$714.95 · 29 payments from 6 companies
- 2024$1,088 · 29 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $316.13 | 15 |
| Alcon Vision LLC | $236.97 | 6 |
| Tarsus Pharmaceuticals, Inc. | $47.88 | 2 |
| New World Medical,inc. | $47.29 | 3 |
| Bausch & Lomb Americas Inc. | $45.34 | 2 |
What the 2025 payments were for
- Food and Beverage$714.95 · 29 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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