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

Q: 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.

Q: What is Julie Pena's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julie Pena was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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: August 16, 2026.

On this page

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

Phone(615) 771-7546

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

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Other Identifiers 2

Other3159356TN · Bcbs

Medicare UPINH26214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Quality

82.29

Improvement Activities

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.

JENNIFER ANNE SHELBY APN

Nurse Practitioner (Family)