JAY B PENAFIEL MD
NPI 1174515217
Internal Medicine - Cardiovascular Disease in Glen Burnie, MD

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
62.51/100
CMS Quality Rating
1417 MADISON PARK DR, GLEN BURNIE, MD 21061(410) 768-6600(410) 768-3132 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jay B Penafiel Md NPPES

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

JAY B PENAFIEL MD (NPI 1174515217) is an individual cardiovascular disease provider in Glen Burnie, Maryland, licensed in Maryland (D50087) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and is a graduate of University Of Maryland School Of Medicine (1994).

NPPES Registry Identity

NPI1174515217
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAY B PENAFIELCredential: MD
Location Address1417 MADISON PARK DRGlen Burnie, MD 21061-5613
Mailing Address1417 Madison Park DrGlen Burnie, MD 21061-5613 · (410) 768-6600 · Fax (410) 768-3132
Fax(410) 768-3132
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1994
Enumeration DateAugust 16, 2005
Last NPPES UpdateMarch 19, 2012
NPI 1174515217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MD · D50087
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1417 MADISON PARK DR, Glen Burnie, MD 21061

Other Identifiers 4

Medicare PINH363D461MD
Medicare UPINH36822MD
Medicaid970505800MD
Other060068110MD · Railroad Medicare

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

Jay B Penafiel 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 ID8628259157
PECOS Enrollment IDI20110216000945
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
3,112 services774 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
918 services889 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
891 services887 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
888 services884 patients
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.
867 services596 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
592 services530 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

62.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality39.79
Improvement Activities40
Cost55.32

Reported Quality Measures

Breast Cancer Screening
0%311 patients1/55-star benchmark: 93%
Controlling High Blood Pressure
81%648 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%213 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
20%2,034 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
8%797 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%1,272 patients1/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier11 claims11 services$2,049.11 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 13

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

Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Internal Medicine (Clinical Cardiac Electrophysiology)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Nurse Practitioner
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Internal Medicine (Clinical Cardiac Electrophysiology)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174515217, enumerated as an "individual" on August 16, 2005.

The provider is located at 1417 MADISON PARK DR GLEN BURNIE, MD 21061 and the phone number is (410) 768-6600.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.

Jay Penafiel is affiliated with: UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER.