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JULIO E DE PENA FERNANDEZ MD
NPI 1225425317
Internal Medicine in Matthews, NC

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
332 N TRADE ST, STE 2000, MATTHEWS, NC 28105(704) 302-8500 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 49 more (52 updates tracked since 2017).

About Julio E De Pena Fernandez Md NPPES

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

JULIO E DE PENA FERNANDEZ MD (NPI 1225425317) is an individual internal medicine provider in Matthews, North Carolina, licensed in North Carolina (2018-01711) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225425317
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJULIO E DE PENA FERNANDEZCredential: MD
Location Address332 N TRADE ST, STE 2000Matthews, NC 28105-1728
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 302-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 16, 2015
Last NPPES UpdateJuly 15, 202452 updates tracked since enumeration
✔ NPI 1225425317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2018-01711
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
332 N TRADE ST, Matthews, NC 28105
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115110 John J Delaney Dr, Ste 200Charlotte, NC 28277-3544 · Phone (704) 302-8100
Location 213640 Steelecroft Pkwy, Ste 320Charlotte, NC 28278-7565 · Phone (704) 302-8900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julio E De Pena Fernandez 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 ID5294048914
PECOS Enrollment IDI20181003003903
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.

Medicare Billing Reassignment

Medicare enrollment records show Julio De Pena Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc
Same address
Family Medicine
332 N TRADE ST, STE 1100
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1700079225 (704) 512-6850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
136 services87 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services83 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
79 services79 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

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
2 suppliers20 claims20 services$198.89 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 17

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

RACHAEL COLLINS
Physician Assistant
332 N TRADE ST, SUITE 1100
MATTHEWS, NC 28105
Mecklenburg County (704) 512-6850
COURTNEY LYNN ELLIS PA
Physician Assistant
332 N TRADE ST, STE 1500
MATTHEWS, NC 28105
Mecklenburg County (704) 512-6820
GEORGE ANTHONY MANOUSOS MD
Pediatrics
332 N TRADE ST, STE 1500
MATTHEWS, NC 28105
Mecklenburg County (704) 512-6820
ODILE KAMANZI MD
Internal Medicine
332 N TRADE ST, STE 2000
MATTHEWS, NC 28105
Mecklenburg County (704) 302-8500
WIN JIR LIN PA
Physician Assistant (Medical)
332 N TRADE ST, STE 1100
MATTHEWS, NC 28105
Mecklenburg County (704) 512-6850
RACHEL WIESE JONES MD
Pediatrics
332 N TRADE ST, STE 1500
MATTHEWS, NC 28105
Mecklenburg County (704) 512-6820
MECKLENBURG MEDICAL GROUP
Dermatology
332 N TRADE ST, STE 2000
MATTHEWS, NC 28105
Mecklenburg County (704) 302-8500
CHANDA NICOLE GUPTILL NP
Nurse Practitioner
332 N TRADE ST, STE 1500
MATTHEWS, NC 28105
Mecklenburg County (704) 512-6820

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 Julio De Pena Fernandez's NPI number?

The NPI number for Julio De Pena Fernandez is 1225425317. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Julio De Pena Fernandez located?

Julio De Pena Fernandez practices at 332 N Trade St Ste 2000, Matthews, NC 28105. The listed phone number is (704) 302-8500.

What is Julio De Pena Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Julio De Pena Fernandez enrolled in Medicare?

Yes. Julio De Pena Fernandez 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.

Which organization bills Medicare for Julio De Pena Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julio De Pena Fernandez reassigns Medicare benefits to Carolinas Physicians Network Inc (Matthews, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julio De Pena Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julio De Pena Fernandez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Julio De Pena Fernandez 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 Julio De Pena Fernandez affiliated with any hospitals?

According to CMS data, Julio De Pena Fernandez is affiliated with Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Julio De Pena Fernandez was last updated on July 15, 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.