ENRIQUE B PENA M.D.
NPI 1003922964
Physical Medicine & Rehabilitation in Austin, TX

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
81.24/100
CMS Quality Rating
1004 W 32ND ST STE 200, AUSTIN, TX 78705(512) 324-3580(512) 324-3581 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enrique B Pena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRIQUE B PENA M.D. (NPI 1003922964) is an individual physical medicine & rehabilitation provider in Austin, Texas, licensed in Texas (N7650) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Hays, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003922964
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameENRIQUE B PENACredential: M.D.
Location Address1004 W 32ND ST STE 200Austin, TX 78705-1918
Mailing Address1400 N Ih 35, Suite 300Austin, TX 78701-1926 · (512) 324-8300
Fax(512) 324-3581
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedOctober 4, 2023
NPI 1003922964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · N7650
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1004 W 32ND ST STE 200, Austin, TX 78705

Secondary Practice Locations 2

Location 11400 N Ih 35 Ste 300Austin, TX 78701-1926 · Phone (512) 324-3580
Location 21101 S Capital Of Texas Hwy Ste 100West Lake Hills, TX 78746-6445 · Phone (512) 503-7399

Other Identifiers 1

Medicaid219476302TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Enrique B Pena M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315944626
PECOS Enrollment IDI20110110000229
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
193 services121 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
111 services91 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
107 services77 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
107 services107 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
58 services48 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
41 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.9
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
22%277 patients1/55-star benchmark: 93%
Cervical Cancer Screening
24%225 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
60%288 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
28%553 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
65%197 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
9%80 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
65%80 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,525 patients4/55-star benchmark: 100%
e-Prescribing
99%1,049 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
10%454 patients1/55-star benchmark: 100%
HIV Screening
5%474 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%883 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
14%702 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%931 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 40% · 682 patients
Patients screened: 43% · 682 patients
48%44 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%689 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%353 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 474 patients
Patients totalRate: 9% · 476 patients
9%476 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1004 W 32ND ST STE 200
AUSTIN, TX 78705
Physician Assistant
1004 W 32ND ST STE 200
AUSTIN, TX 78705
Nurse Practitioner
1004 W 32ND ST STE 200
AUSTIN, TX 78705
Physical Therapist
1004 W 32ND ST STE 200
AUSTIN, TX 78705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enrique Pena's NPI number?

The NPI number for Enrique Pena is 1003922964. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Enrique Pena located?

Enrique Pena practices at 1004 W 32nd St Ste 200, Austin, TX 78705. The listed phone number is (512) 324-3580.

What is Enrique Pena's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Enrique Pena enrolled in Medicare?

Yes. Enrique Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Enrique Pena accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Enrique Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Enrique Pena affiliated with any hospitals?

According to CMS data, Enrique Pena is affiliated with Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Enrique Pena was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.