CARLOS ANDRES PENAHERRERA OVIEDO M.D.
NPI 1093268138
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dalton, GA

Q: What is Carlos Penaherrera Oviedo's NPI number?

The NPI number for Carlos Penaherrera Oviedo is 1093268138. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Q: What is Carlos Penaherrera Oviedo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment

475 REED RD STE 104, DALTON, GA 30720(706) 226-1622(706) 272-6445 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2023, Oct 14, 2021, Jul 1, 2021 and 1 more (4 updates tracked since 2021).

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About Carlos Andres Penaherrera Oviedo M.d. NPPES

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

CARLOS ANDRES PENAHERRERA OVIEDO M.D. (NPI 1093268138) is an individual endocrinology, diabetes & metabolism provider in Dalton, Georgia, licensed in Georgia (86955) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and maintains a secondary practice location in Dalton.

NPPES Registry Identity

NPI1093268138

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameCARLOS ANDRES PENAHERRERA OVIEDOCredential: M.D.

Location Address475 REED RD STE 104Dalton, GA 30720-6310

Mailing AddressPo Box 1168Dalton, GA 30722-1168

Phone(706) 226-1622

Fax(706) 272-6445

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 25, 2016

Last NPPES UpdateFebruary 16, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2023

✔ NPI 1093268138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in GA · 86955

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

475 REED RD STE 104, Dalton, GA 30720

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Secondary Practice Location 1

Location 11200 Memorial DrDalton, GA 30720-2529 · Phone (706) 272-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Carlos Andres Penaherrera Oviedo 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 ID6901206432

PECOS Enrollment IDI20210621001133

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 9

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.

486 services290 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

388 services209 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

264 services168 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

259 services181 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

159 services93 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

79 services79 patients

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers16 claims56 services$6.57 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers54 claims54 services$185.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

VICKI R DEWEESE FNP-BC

Nurse Practitioner