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MARCO ANTONIO PENA APRN
NPI 1023759164
Nurse Practitioner - Family in Elsa, TX

Active since April 05, 2022PECOS Enrolled
81.44/100
CMS Quality Rating
607 W CIRO CASARES ST, ELSA, TX 78543(956) 650-9246 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marco Antonio Pena Aprn NPPES

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

MARCO ANTONIO PENA APRN (NPI 1023759164) is an individual family provider in Elsa, Texas, licensed in Texas (1072107) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023759164
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARCO ANTONIO PENACredential: APRN
Location Address607 W CIRO CASARES STElsa, TX 78543-7854
Mailing AddressPo Box 2333Elsa, TX 78543-2333 · (956) 650-9246
Phone(956) 650-9246
Sole ProprietorYes
Enumeration DateApril 5, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1023759164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1072107
607 W CIRO CASARES ST, Elsa, TX 78543
Open in Google Maps ↗

Other Identifiers 1

Other1072107TX · Aprn-cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marco Antonio Pena Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services30 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78543 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

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 Marco Pena's NPI number?

The NPI number for Marco Pena is 1023759164. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Marco Pena located?

Marco Pena practices at 607 W Ciro Casares St, Elsa, TX 78543. The listed phone number is (956) 650-9246.

What is Marco Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marco Pena enrolled in Medicare?

Yes. Marco Pena is registered in the Medicare PECOS enrollment system.

What insurance does Marco Pena accept?

Health plans from Blue Cross and Blue Shield of Texas list Marco 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 Marco Pena was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.