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RAUL ALBERTO HERRERA PENA M.D.
NPI 1144636143
Internal Medicine - Endocrinology, Diabetes & Metabolism in Minneapolis, MN

Active since July 10, 2014PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
420 DELAWARE STREET SE, MMC 101, MINNEAPOLIS, MN 55455(612) 626-9943 Get Directions Write a Review

NPPES record last updated: June 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raul Alberto Herrera Pena M.d. NPPES

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

RAUL ALBERTO HERRERA PENA M.D. (NPI 1144636143) is an individual endocrinology, diabetes & metabolism provider in Minneapolis, Minnesota, licensed in Minnesota (33274) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144636143
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameRAUL ALBERTO HERRERA PENACredential: M.D.
Location Address420 DELAWARE STREET SE, MMC 101Minneapolis, MN 55455
Mailing Address420 Delaware Street Se, Mmc 101Minneapolis, MN 55455 · (612) 626-9943
Phone(612) 626-9943
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 10, 2014
Last NPPES UpdateJune 1, 2024
NPPES CertifiedJune 1, 2024
✔ NPI 1144636143 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 MN · 33274
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.
420 DELAWARE STREET SE, MMC 101, Minneapolis, MN 55455
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Raul Alberto Herrera 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 ID9335494475
PECOS Enrollment IDI20250509000296
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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 3

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
7 suppliers19 claims49 services$6.56 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$15.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers42 claims42 services$73.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Raul Herrera Pena's NPI number?

The NPI number for Raul Herrera Pena is 1144636143. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Raul Herrera Pena located?

Raul Herrera Pena practices at 420 Delaware Street SE, Mmc 101, Minneapolis, MN 55455. The listed phone number is (612) 626-9943.

What is Raul Herrera Pena's specialty?

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

Is Raul Herrera Pena enrolled in Medicare?

Yes. Raul Herrera 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 Raul Herrera Pena accept?

Health plans from Medica list Raul Herrera 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 Raul Herrera Pena affiliated with any hospitals?

According to CMS data, Raul Herrera Pena is affiliated with M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Raul Herrera Pena was last updated on June 1, 2024. 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.