Laviel A. Fernandez, MD
Orthopaedic Surgery of the Spine Physician · Cumming, GA
Laviel A. Fernandez, MD is an orthopaedic surgery of the spine physician with a practice address in Cumming, Georgia, and NPI 1194259416, issued on Apr 13, 2017. Check the license (Georgia 96431, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Laviel A. Fernandez
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License numbers
- 96431 GA
2022011808 MO
Self-reported in NPPES; status is on the state search - Practice location
- 2000 Howard Farm Dr Ste 350, Cumming, GA 30041
- Phone
- (404) 847-4230
- Enumerated
- Apr 13, 2017
- Record last updated
- Sep 16, 2024
- Medicare enrollment
- Enrolled (PECOS I20241003002979); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Stony Brook, School Of Medicine, 2017
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery of the spine physician records → All 60 in Georgia → Look up another NPI →
Verify Laviel A. Fernandez in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 96431Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
86% fewer Medicare Part D claims than the average orthopaedic surgery of the spine physician in 2024
53 Medicare Part D claims for 25 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D.
Most prescribed
- Diclofenac Sodium18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $179.90
6 payments; by number, the most common kind was food and beverage; the largest payer was Highridge Medical LLC. The 1,726 providers of this specialty with any payment received $34,071.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Piedmont Orthopedics, LLCAugusta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Laviel A. Fernandez among 60 orthopaedic surgery of the spine physician records in Georgia
Laviel A. Fernandez, MD is one of 60 orthopaedic surgery of the spine physician records with a practice address in Georgia. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 87% of them.
- NPI issued2017 · 87% of these records are older, 8% newer
- In a Medicare fileYes · 93% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2017 · median 1998 among the 42 with a school on file
- Record last updated2024 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery of the Spine Physician providers in Georgia
There are 60 orthopaedic surgery of the spine physician records in Georgia.
All 60 in Georgia → Every provider in Cumming → Orthopaedic Surgery of the Spine Physician nationwide →
The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes
- Keith Osborn, M.D.Cumming, GA 300411407843568
- Edward Middlebrooks, MDLawrenceville, GA 300461801810932
- Steven Presciutti, M.D.Decatur, GA 300331821225293
- Ricardo Hernandez, DOSuwanee, GA 300241548885072
- James Malcolm, M.D.Marietta, GA 300601740283431
- Robert Greenfield, M.D.Covington, GA 300161588651137
- Erik Bendiks, MDRoswell, GA 300761518959006
- Brad Prybis, MDRoswell, GA 300761245296391
Common questions
What is Laviel A. Fernandez, MD's NPI number?
Laviel A. Fernandez, MD's National Provider Identifier (NPI) is 1194259416, issued on Apr 13, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Laviel A. Fernandez, MD located?
The NPPES record lists a practice address at 2000 Howard Farm Dr Ste 350, Cumming, GA, 30041. Phone: (404) 847-4230. Providers update this record themselves, so call before visiting.
How can I verify Laviel A. Fernandez, MD's license?
NPPES lists Georgia license number 96431, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Laviel A. Fernandez, MD prescribe under Medicare Part D?
In 2024, Laviel A. Fernandez, MD had 53 Medicare Part D claims for 25 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.
What is Laviel A. Fernandez, MD's MIPS final score?
The 2023 MIPS final score is 79.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.