What is Fermin Serna's specialty?

Fermin Serna (NPI 1124449368) is a Medicare-billing provider whose primary specialty is Nurse Practitioner in San Angelo, TX.

Where does Fermin Serna practice?

Fermin Serna practices in San Angelo, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1124449368.

How much does Medicare pay Fermin Serna?

Medicare Part B utilization, prescribing (Part D), MIPS quality scores, and industry payments for Fermin Serna (NPI 1124449368) are detailed on this CareTrace profile.

PROVIDER PROFILE · NPI 1124449368

Fermin Serna

PRACTICETEXAS CARDIAC ARRHYTHMIASee all providers at this practice →

Nurse PractitionerSan Angelo, TXI

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

82.6

Quality

78.2

Cost

67.2

Improvement activities

40.0

Promoting interop.

96.0

Payment adjustment

0.32%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Fermin Serna's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 15 inbound referrers · 51 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Eddie Shell Diagnostic Radiology · San Angelo, TX	60	76
City Of San Angelo Ambulance Service Provider · San Angelo, TX	49	68
Michael Sickels Diagnostic Radiology · San Angelo, TX	48	72
Kenneth Taylor Diagnostic Radiology · San Angelo, TX	48	60
James Slauson Emergency Medicine · San Angelo, TX	42	50
Lance Hafter Emergency Medicine · San Angelo, TX	36	47
IVANS, DAVID	28	30
Scott Hodge Emergency Medicine · San Angelo, TX	23	29
David Nichols Emergency Medicine · San Angelo, TX	22	27
SAN ANGELO HOSPITAL LP	22	32
Kimrey Daniel Emergency Medicine · San Angelo, TX	18	23
Paul Borgfeld Internal Medicine · San Angelo, TX	17	21

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SHANNON MEDICAL CENTER	231	353
Kenneth Breedlove Diagnostic Radiology · San Angelo, TX	82	111
James Cole Diagnostic Radiology · San Angelo, TX	79	102
SCHULZE, VICTOR	59	88
City Of San Angelo Ambulance Service Provider · San Angelo, TX	58	79
Ross Harper Diagnostic Radiology · San Angelo, TX	54	79
James Alaly Diagnostic Radiology · San Angelo, TX	54	72
Meena Betha Internal Medicine · San Angelo, TX	52	100
Moulali Shaik Internal Medicine · San Angelo, TX	46	83
Samia Geevarghese Cardiology · San Angelo, TX	43	58
David Nichols Emergency Medicine · San Angelo, TX	43	60
Eddie Shell Diagnostic Radiology · San Angelo, TX	42	54

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events