DANIELA M DONOSO PENA MD
NPI 1265744916
Internal Medicine in Red Oak, IA

Q: What is Daniela Donoso Pena's NPI number?

The NPI number for Daniela Donoso Pena is 1265744916. It was assigned to this individual provider in the NPPES registry on July 10, 2010.

Q: What is Daniela Donoso Pena's specialty?

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

Active since July 10, 2010PECOS EnrolledAccepts Medicare Assignment

67.42/100

CMS Quality Rating

1400 SENATE AVE STE 108, RED OAK, IA 51566(712) 623-7280(712) 623-7279 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Daniela M Donoso Pena Md NPPES

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

DANIELA M DONOSO PENA MD (NPI 1265744916) is an individual internal medicine provider in Red Oak, Iowa, licensed in Iowa (47372) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Clarinda Regional Health Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265744916

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDANIELA M DONOSO PENACredential: MD

Location Address1400 SENATE AVE STE 108Red Oak, IA 51566-1271

Mailing Address2301 Eastern AveRed Oak, IA 51566-1305 · (712) 623-7280

Phone(712) 623-7280

Fax(712) 623-7279

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 10, 2010

Last NPPES UpdateOctober 10, 2022

NPPES CertifiedOctober 10, 2022

✔ NPI 1265744916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IA · 47372✔ Licensed in AZ · 49963

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 SENATE AVE STE 108, Red Oak, IA 51566

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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

Daniela M Donoso Pena 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 ID244458727

PECOS Enrollment IDI20150716000105, I20200826003144

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 Daniela Donoso Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montgomery County Memorial Hospital

0.1 mi

Critical Access

2301 EASTERN AVE
Red Oak, IA 51566

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1265405310 (Iowa)
67 clinicians in this Medicare group

NPI 1376539338 (712) 623-7000

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 3

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.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

21 services11 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

21 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161352

Location220 Essie Davison DriveClarinda, IA 51632 · Page County

Emergency services

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161363

Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County

Emergency services

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161366

Location300 Pershing AvenueShenandoah, IA 51601 · Page County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51566 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

67.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.92

Promoting Interoperability

100

Improvement Activities

Cost

24.48

Referred Medical Equipment & Supplies CMS DME claims 14

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

8 suppliers74 claims155 services$5.67 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims13 services$1.04 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$42.02 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers15 claims75 services$21.34 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers31 claims31 services$68.23 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers29 claims29 services$22.74 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 7

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

BRIAN E. COUSE MD

Family Medicine