Medicare Enrolled

Dr. Benjamin Fernandez, C-AA, DPT

Physical Therapist · Destin, FL
Practice pattern: Cardiac Surgery — Surgically focused practice
1225 AIRPORT RD, Destin, FL 32541
8506507606
In practice since 2012 (13 years)
NPI: 1356697577 verify on NPPES ↗
High
DATA COVERAGE
Data in 3 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Fernandez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fernandez

Dr. Benjamin Fernandez is a physical therapist in Destin, FL, with 13 years of NPI registration. Based on federal Medicare data, Dr. Fernandez performed 333 Medicare services across 313 unique beneficiaries.

The Data Coverage level for Dr. Fernandez is High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years in practice ▲ 333 Medicare services

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Anesthesiologist Assistants 472 Clear January 31, 2027 —
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
333
Medicare services
Bottom 8% in FL for physical therapist
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
313
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~26 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Anesthesia for cataract/lens surgery
Administration of anesthesia during eye lens surgery. This code covers the anesthetic service provided for the procedure.
 202 $49 $713
Anesthesia for endoscopic procedure on esophagus, stomach, or upper small bowel
Administration of anesthesia during an endoscopic procedure involving the esophagus, stomach, or upper small bowel.
 26 $53 $750
Anesthesia for large bowel endoscopy
Administration of anesthesia during a procedure to examine the large bowel using an endoscope.
 25 $55 $751
Anesthesia for total knee replacement
Administration of anesthesia during a total knee joint replacement procedure.
 24 $112 $1,596
Anesthesia for colonoscopy
Administration of anesthesia during an examination of the colon using an endoscope.
 23 $52 $707
Anesthesia for bowel endoscopy
Administration of anesthesia during a procedure to examine the small and large bowel using an endoscope.
 22 $63 $891
Anesthesia for lower leg, ankle, or foot bone procedure
Administration of anesthesia during surgical procedures involving the bones of the lower leg, ankle, or foot.
 11 $59 $831
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
67.9% high complexity
21.0% medium
11.1% routine
Looking for a physical therapist in Destin?
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Geographic Context

Physical therapists within 10 mi
231
Per 100K population
107.8
County median income
$79,097
Nearest hospital
SACRED HEART HOSPITAL ON THE EMERALD COAST
8.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments — No payments N/A
Disciplinary History — Not public N/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Fernandez is a cardiac surgery specialist, with moderate Medicare volume.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Fernandez experienced with anesthesia for cataract/lens surgery?
Based on Medicare claims data, Dr. Fernandez performed 202 anesthesia for cataract/lens surgery services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
How do Dr. Fernandez's costs compare to other physical therapists in Destin?
Dr. Fernandez's average Medicare payment per service is $56. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently High for Dr. Fernandez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →