JULIE M PENA M.D.
NPI 1184608416
Dermatology - MOHS-Micrographic Surgery in Franklin, TN

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
200 COOL SPRINGS BLVD, FRANKLIN, TN 37067(615) 771-7546(615) 771-8600 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Julie M Pena M.d. NPPES

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

JULIE M PENA M.D. (NPI 1184608416) is an individual mohs-micrographic surgery provider in Franklin, Tennessee, licensed in Tennessee (MD0000033935) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1993).

NPPES Registry Identity

NPI1184608416
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameJULIE M PENACredential: M.D.
Location Address200 COOL SPRINGS BLVDFranklin, TN 37067-2677
Mailing Address200 Cool Springs BlvdFranklin, TN 37067-2677 · (615) 771-7546 · Fax (615) 771-8600
Fax(615) 771-8600
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1993
Enumeration DateNovember 30, 2005
Last NPPES UpdateJune 9, 2014
NPI 1184608416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in TN · MD0000033935
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 33935 (TN)
200 COOL SPRINGS BLVD, Franklin, TN 37067

Other Identifiers 2

Other3159356TN · Bcbs
Medicare UPINH26214

Accepted 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

Julie M 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 ID1456327766
PECOS Enrollment IDI20040908001018
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

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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.29
Improvement Activities20

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Family)
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Nurse Practitioner (Family)
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Nurse Practitioner (Family)
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Physician Assistant
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Dermatology
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Specialist
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Dermatology (Procedural Dermatology)
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067
Physician Assistant
200 COOL SPRINGS BLVD
FRANKLIN, TN 37067

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 Julie Pena's NPI number?

The NPI number for Julie Pena is 1184608416. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Julie Pena located?

Julie Pena practices at 200 Cool Springs Blvd, Franklin, TN 37067. The listed phone number is (615) 771-7546.

What is Julie Pena's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Julie Pena enrolled in Medicare?

Yes. Julie 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 Julie Pena accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Julie 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 Julie Pena was last updated on June 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.