MR. VICTOR E PENA MD
NPI 1003994948
Obstetrics & Gynecology in Montgomery, AL

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
2455 BELL RD, MONTGOMERY, AL 36117(334) 747-8970(334) 747-8980 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2023, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Mr. Victor E Pena Md NPPES

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

MR. VICTOR E PENA MD (NPI 1003994948) is an individual obstetrics & gynecology provider in Montgomery, Alabama, licensed in Alabama (17893) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of University Of Cincinnati College Of Medicine (1981).

NPPES Registry Identity

NPI1003994948
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. VICTOR E PENACredential: MD
Location Address2455 BELL RDMontgomery, AL 36117-4336
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Fax(334) 747-8980
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1981
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 6, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1003994948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AL · 17893
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2455 BELL RD, Montgomery, AL 36117

Secondary Practice Location 1

Location 12055 E South Blvd Ste 806Montgomery, AL 36116-2007 · Phone (334) 747-8920 · Fax (334) 747-8930

Other Identifiers 12

Medicaid200815AL
Other511-93901AL · Bcbs Of Alabama
Other511-93875AL · Bcbs Of Alabama
Other102I168904AL · Medicare
Other440440Cigna
Other511-93871AL · Bcbs Of Alabama
Medicaid009932478AL
Medicaid202136AL
OtherP01873134Rr Medicare
Other051529494AL · Bcbs
Medicaid200812AL
OtherA82388Viva Health

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Victor E Pena Md 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 ID6204811375
PECOS Enrollment IDI20040622001393
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Victor Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
7449 EASTCHASE PKWY STE 200
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

e-Prescribing
99%178 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%320 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 3

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

Obstetrics & Gynecology
2455 BELL RD
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
2455 BELL RD
MONTGOMERY, AL 36117
Obstetrics & Gynecology
2455 BELL RD
MONTGOMERY, AL 36117

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 Victor Pena's NPI number?

The NPI number for Victor Pena is 1003994948. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Victor Pena located?

Victor Pena practices at 2455 Bell Rd, Montgomery, AL 36117. The listed phone number is (334) 747-8970.

What is Victor Pena's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Victor Pena enrolled in Medicare?

Yes. Victor 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.

Which organizations bill Medicare for Victor Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor Pena reassigns Medicare benefits to 2 organizations: The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL) and Vincentian Physician Services LLC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victor Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victor Pena accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Victor 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.

When was this NPI record last updated?

The NPPES record for Victor Pena was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.