Dr. Luis Oscar Hernandez III, MD

  • Miami, FL
  • Colorectal surgeon
NPI1205078649PAC ID0547561870
Medicare services, 2024
227
Medicare patients, 2024
142
Part D claims, 2024
516
Publications
1
MIPS score, 2024
82
Practice address
15955 Sw 96th St, Miami, FL 33196
Practice phone
Call (305) 913-0666
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Gastro Health

Miami, Florida

See all 8 affiliations

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Dr. Luis Oscar Hernandez III is a colorectal surgeon in Miami, Florida

Dr. Hernandez practices at Gastro Health in Miami, Florida.

Dr. Hernandez's NPI, 1205078649, was assigned on March 31, 2009. Dr. Hernandez graduated from Florida State University College Of Medicine in 2009. Dr. Hernandez holds Florida license ME124589.

NPI and contact details
Medicare PAC ID
0547561870
NPI enumeration date
March 31, 2009
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(305) 913-0666
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
43
Medical school graduation
2009

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Luis Oscar Hernandez III practices at Gastro Health in Miami, Florida

Dr. Hernandez's primary practice is Gastro Health, at 15955 Sw 96th St, Miami, FL 33196 in Miami-Dade County. The practice phone is (305) 913-0666.

  • Gastro Health
    15955 Sw 96th St, Miami, FL 33196 · Miami-Dade CountyPhone(305) 913-0666

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Luis Oscar Hernandez III is affiliated with 6 sites of care and 2 medical groups

Dr. Hernandez's primary practice is Gastro Health in Miami, Florida. Dr. Hernandez is also affiliated with Baptist Health Baptist Hospital. The medical group on file is Gastro Health. Dmand AI also links Dr. Hernandez to 2 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.

See all 8 affiliations for Dr. Hernandez

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Luis Oscar Hernandez III's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Hernandez practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Gastro HealthAvailable with a free account
+5 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Luis Oscar Hernandez III is one of 151 colorectal surgeons in Florida

Colon and rectal surgery is Dr. Hernandez's primary specialty in the NPI Registry, under taxonomy code 208C00000X. Dr. Hernandez is board certified in colon & rectal surgery by the American Board of Colon and Rectal Surgery. Dmand AI has Dr. Hernandez's licenses on file in 3 states: Florida, District of Columbia and Maryland.

Specialties and state licenses

  • Colon and rectal surgery, FloridaPrimaryLicense TRN 13872 · 2015 to 2027 · taxonomy 208C00000X
  • District of Columbia license2014 to 2020
  • Maryland license2015 to 2018

Clinical focus

Dmand AI lists colonoscopy, colon removal and hemorrhoids among the conditions Dr. Hernandez treats.

Colorectal surgeons near Dr. Hernandez

Counts of colorectal surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Luis Oscar Hernandez III billed Medicare for 227 services in 2024

CMS data shows 227 Medicare services from Dr. Hernandez across 6 procedure codes in 2024, for 142 Medicare patients. Medicare paid $23,419 for them.

Medicare services, 2024227
Medicare patients142
Paid by Medicare$23,419
Procedure codes6

Dr. Hernandez's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2282024: 19813%
Surgery
2023: 292024: 29No change

Where Dr. Hernandez's Medicare services took place, 2024

  • In an office14865%
  • In a facility7935%

Dr. Hernandez compared with the Florida median for colorectal surgeons, 2024

  • Dr. Hernandez
  • Florida median
Medicare services
227vs 225Close to median
Medicare patients
142vs 136Close to median
Part D claims
456vs 746.2 times

Medians across 143 colorectal surgeons in Florida with Dmand AI profiles that report each measure.

Dr. Hernandez's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Hernandez

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Luis Oscar Hernandez III treated 142 Medicare patients in 2024, average age 76

CMS counts 142 Medicare patients who saw Dr. Hernandez in 2024. The largest group is 65 to 74, with 54 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 33% are also on Medicaid. Their average risk score is 1.79, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Hernandez's median patient age at 62, with 53% women.

Medicare patients, 2024142
Average age76
Average risk score1.79
Also on Medicaid33%

Dr. Hernandez's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Hernandez's Medicare patients by sex, 2024

  • Women7855%
  • Men6445%

Chronic conditions among Dr. Hernandez's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis51%
  4. Ischemic heart disease43%
  5. Cancer42%
  6. Anxiety36%
  7. Diabetes36%
  8. Mood disorders36%

Share of Medicare patients with each condition. A patient can have several.

Dr. Hernandez's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 62

Patient panel by sex, all payers

  • Women53%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Luis Oscar Hernandez III wrote 516 Medicare Part D claims in 2024

In 2024, Dr. Hernandez wrote 516 Medicare Part D claims for 226 patients. 76% of them were for generic drugs. CMS names the drug for 456 of them, across 13 drugs with 11 or more claims each, at $29,349 in total drug cost. In 2023, CMS named 386 claims across 11 drugs.

Part D claims, 2024516
Drugs named by CMS13
Total drug cost$29,349
Part D patients226

Dr. Hernandez's Part D claims by kind of drug, 2024

  • Generic390 claims76%
  • Brand-name126 claims24%

Dr. Hernandez's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Hernandez's Part D claims, 2024

  • Opioids8%43 of 516 claims
  • Antibiotics28%146 of 516 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3862024: 45618%

Drugs named by CMS: 13 in 2024, 11 in 2023.

See all prescribing by Dr. Hernandez

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Luis Oscar Hernandez III scored 82 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 82 out of 100 for Dr. Hernandez for performance year 2024, reported as part of a group. Dr. Hernandez accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 15 procedures of colonoscopy by Dr. Hernandez, more than 44% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Hernandez's MIPS scores, performance year 2024

  • 82of 100Final score
  • 65.4of 100Quality
  • 98of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 76of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Hernandez ranks in Medicare procedure volume

Colonoscopy
44th percentile15 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Luis Oscar Hernandez III has 1 publication on record

Dmand AI links 1 paper to Dr. Hernandez in 2024. Dr. Hernandez's most frequent co-authors are Catherine Elizabeth Gleason, MD and Bernard Levin, MD.

Papers1

Dr. Hernandez's most frequent co-authors

Recent publications by Dr. Hernandez

See all 1 publications and co-authors

See who Dr. Hernandez researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Hernandez works with, so you can find a warm path to the right colorectal surgeons.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Luis Oscar Hernandez III received $223,799 in industry payments from 2016 to 2025

CMS Open Payments shows 211 general payments to Dr. Hernandez from 24 drug and device companies from 2016 to 2025. Education make up the largest share, 91% of the total. Intuitive Surgical, Inc. paid the most, $222,206.

General payments to Dr. Hernandez by program year, 2016 to 2025

General payments to Dr. Hernandez by kind, 2016 to 2025

$223.8Kin total
  • Education$203,25091%
  • Food and beverage$13,9266%
  • Travel and lodging$4,5322%
  • Speaker and faculty fees$2,0001%
  • Other$910%

Companies that paid Dr. Hernandez the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Hernandez

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Luis Oscar Hernandez III graduated from Florida State University College Of Medicine

Dr. Hernandez graduated from Florida State University College Of Medicine in 2009.

  1. Medical schoolFlorida State University College Of Medicine
  2. Board certified in colon & rectal surgeryAmerican Board of Colon and Rectal Surgery
  3. Board certified in surgeryAmerican Board of Surgery

Source: Dmand AI Professional Profile Data

Dr. Luis Oscar Hernandez III accepts plans from 16 insurance carriers

Dr. Hernandez is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

Plan types Dr. Hernandez accepts, by number of carriers

  1. PPO11
  2. Medicare10
  3. HMO8
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Luis Oscar Hernandez III's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Luis Oscar Hernandez III

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Luis Oscar Hernandez III's NPI number?

Dr. Luis Oscar Hernandez III's NPI number is 1205078649. It was assigned on March 31, 2009, and it is active in the NPI Registry.

What kind of doctor is Dr. Luis Oscar Hernandez III?

Dr. Luis Oscar Hernandez III is a colorectal surgeon in Miami, Florida. The primary specialty in the NPI Registry is Colon & Rectal Surgery Physician (taxonomy code 208C00000X).

Where does Dr. Luis Oscar Hernandez III practice?

Dr. Hernandez practices at 15955 Sw 96th St, Miami, FL 33196. Dr. Hernandez's primary practice is Gastro Health in Miami, Florida. Dmand AI also links Dr. Hernandez to 2 hospitals, 2 group practices and clinics and 1 medical group.

What is Dr. Luis Oscar Hernandez III's office phone number?

The practice phone on file for Dr. Hernandez is (305) 913-0666.

What is Dr. Luis Oscar Hernandez III's medical license number?

Dr. Hernandez holds Florida license ME124589, one of the licenses on file in 3 states.

Which states has Dr. Luis Oscar Hernandez III been licensed in?

Dmand AI has state licenses on file for Dr. Hernandez in Florida (2015 to 2027), District of Columbia (2014 to 2020) and Maryland (2015 to 2018).

Which hospitals is Dr. Luis Oscar Hernandez III affiliated with?

Dr. Hernandez is affiliated with Baptist Health Baptist Hospital. Dmand AI links Dr. Hernandez to 2 more hospitals.

What medical group is Dr. Luis Oscar Hernandez III part of?

Dr. Hernandez is linked to Gastro Health. Dmand AI links Dr. Hernandez to 1 more medical group.

Does Dr. Luis Oscar Hernandez III accept Medicare?

Yes. CMS data shows Dr. Hernandez billed Medicare for 227 services in 2024, and Dr. Hernandez accepts Medicare assignment.

What is Dr. Luis Oscar Hernandez III's MIPS score?

Dr. Hernandez's MIPS final score for performance year 2024 is 82 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Luis Oscar Hernandez III see?

CMS counts 142 Medicare patients who saw Dr. Hernandez in 2024, with an average age of 76.

Is Dr. Luis Oscar Hernandez III board certified?

Yes. Dr. Hernandez is board certified in colon & rectal surgery by the American Board of Colon and Rectal Surgery.

What services does Dr. Luis Oscar Hernandez III bill to Medicare?

In 2024, Dr. Hernandez's most billed Medicare services were hospital inpatient care (99233), office visit, established patient (99213) and office visit, new patient (99204).

Where did Dr. Luis Oscar Hernandez III go to medical school?

Dr. Hernandez graduated from Florida State University College Of Medicine in 2009.

What drugs does Dr. Luis Oscar Hernandez III prescribe most?

In 2024 Medicare Part D data, Dr. Hernandez's most prescribed drugs by claims were Sutab, Metronidazole and Neomycin Sulfate.

Has Dr. Luis Oscar Hernandez III received payments from drug or device companies?

CMS Open Payments shows $223,799 in general payments to Dr. Hernandez from 24 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.

How long has Dr. Luis Oscar Hernandez III been practicing?

Dr. Hernandez graduated from medical school in 2009, 17 years ago.

Does Dr. Luis Oscar Hernandez III do research?

Dmand AI links 1 publication to Dr. Hernandez.

Who does Dr. Luis Oscar Hernandez III publish with?

Dr. Hernandez's most frequent co-authors are Catherine Elizabeth Gleason, MD (1 shared paper) and Bernard Levin, MD (1 shared paper).

What insurance does Dr. Luis Oscar Hernandez III accept?

Dr. Hernandez is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

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