2026 NPPES data Gynecology Physician NPI 1164484523 M.D.
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ANGELICA HERNANDEZ, M.D.

Gynecology Physician in WEST ISLIP, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
368
Medicare Part D claims · 127 beneficiaries · Gynecology Physician avg: 295
MIPS score
98.5241/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$235.16
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANGELICA HERNANDEZ, M.D. reported a CMS MIPS final score of 98.5241/100 — above the 83.1 national average — and filed 368 Medicare Part D claims in 2023.

98.5241/100
MIPS score · +15 vs avg
368
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANGELICA HERNANDEZ, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

99 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANGELICA HERNANDEZ, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANGELICA HERNANDEZ, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/03/2006

NPI 1164484523

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

368 25% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

98.5241/100 15.42410000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Gynecology Physician compares to other specialties among New York providers

New York providers

Gynecology Physician share within New York

1. Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecology Physician share within New York

Medicare quality performance — MIPS

ANGELICA HERNANDEZ, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
98.5241/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 98.5241/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Gynecology Physician) — 98.5241/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANGELICA HERNANDEZ, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 320 MONTAUK HWY, WEST ISLIP, NY, 11795, with a listed phone of (631) 587-2500. NPI 1164484523 was issued on 04/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERNANDEZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 368 prescription claims written by this provider, covering 127 Medicare beneficiaries and totaling roughly $40K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.5241/100 for the 2023 performance year (Quality 82.8545), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

320 MONTAUK HWY
WEST ISLIP, NY 11795

Provider Details

NPI 1164484523
Specialty Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 04/03/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.5241
Final Score
Avg: 83.1
82.8545
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANGELICA HERNANDEZ, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHARLES EVANS CENTER, INC.
BETHPAGE, NY
CHS PHYSICIAN PARTNERS PC
ROSLYN, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANGELICA HERNANDEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$235

Largest payer

MAYNE PHARMA COMMERCIAL LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ANGELICA HERNANDEZ, M.D.. To verify ANGELICA HERNANDEZ, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

368
Total Claims
$40K
Total Drug Cost
127
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
582
Total Day Supply
14,869
Generic Drug Cost
$15K
Antibiotic Claims
47

Patient Demographics

Average Patient Age
64.1 years
Avg HCC Risk Score
1.05
Age Distribution
<65: 42, 65-74: 52, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANGELICA HERNANDEZ, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
61
Alendronate Sodium
39
Estradiol
30
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
23
Valacyclovir
Valacyclovir Hcl
19
Fluconazole
18
Errin
Norethindrone
14
Levofloxacin
13
Tri-Lo-Sprintec
Norgestimate-Ethinyl Estradiol
12
Progesterone
"Progesterone
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gynecology Physician Overview

How ANGELICA HERNANDEZ, M.D. fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

ANGELICA HERNANDEZ, M.D.'s 368 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as HERNANDEZ.

Compare Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANGELICA HERNANDEZ, M.D.'s specialty?
ANGELICA HERNANDEZ, M.D. specializes in Gynecology Physician and practices in WEST ISLIP, New York. Credentials: M.D..
How much does ANGELICA HERNANDEZ, M.D. prescribe under Medicare Part D?
In 2023, ANGELICA HERNANDEZ, M.D. wrote 368 Medicare Part D claims totaling $40K in drug costs for 127 beneficiaries.
What is ANGELICA HERNANDEZ, M.D.'s Medicare quality score?
ANGELICA HERNANDEZ, M.D. has a CMS MIPS Final Score of 98.5241/100 (Quality: 82.8545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANGELICA HERNANDEZ, M.D. located?
ANGELICA HERNANDEZ, M.D. is located at 320 MONTAUK HWY, WEST ISLIP, NY, 11795. Phone: (631) 587-2500.
What is ANGELICA HERNANDEZ, M.D.'s NPI number?
ANGELICA HERNANDEZ, M.D.'s National Provider Identifier (NPI) is 1164484523, issued on 04/03/2006.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does ANGELICA HERNANDEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANGELICA HERNANDEZ, M.D.'s most frequently prescribed drugs include Clotrimazole-Betamethasone, Alendronate Sodium, Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANGELICA HERNANDEZ, M.D. accept Medicare?
ANGELICA HERNANDEZ, M.D. appears in CMS Medicare data with 368 Part D claims and 127 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANGELICA HERNANDEZ, M.D.'s credentials?
ANGELICA HERNANDEZ, M.D.'s NPI is 1164484523 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology