DR. KARLOS PENA
NPI 1366020687
Podiatrist - Foot & Ankle Surgery in Royal Palm Beach, FL

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
11412 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411(561) 295-8009 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Dr. Karlos Pena NPPES

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

DR. KARLOS PENA (NPI 1366020687) is an individual foot & ankle surgery provider in Royal Palm Beach, Florida, licensed in Florida (4525) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Hoboken.

NPPES Registry Identity

NPI1366020687
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KARLOS PENA
Location Address11412 OKEECHOBEE BLVDRoyal Palm Beach, FL 33411-8722
Mailing Address11412 Okeechobee BlvdRoyal Palm Beach, FL 33411-8722 · (561) 295-8009
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1366020687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in FL · 4525
11412 OKEECHOBEE BLVD, Royal Palm Beach, FL 33411

Secondary Practice Location 1

Location 1308 Willow AveHoboken, NJ 07030-3808 · Phone (201) 418-1000

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

Dr. Karlos Pena 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 ID5698210896
PECOS Enrollment IDI20240711004123
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 8

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 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.
74 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
24 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
21 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100176
Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County
Emergency services

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

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.

Podiatrist
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411
Podiatrist (Foot & Ankle Surgery)
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411
Podiatrist (Foot & Ankle Surgery)
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411
Podiatrist (Foot & Ankle Surgery)
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411
Pedorthist
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411
Podiatrist (Foot & Ankle Surgery)
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411
Podiatrist (Foot & Ankle Surgery)
11412 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411

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 Karlos Pena's NPI number?

The NPI number for Karlos Pena is 1366020687. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Karlos Pena located?

Karlos Pena practices at 11412 Okeechobee Blvd, Royal Palm Beach, FL 33411. The listed phone number is (561) 295-8009.

What is Karlos Pena's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Karlos Pena enrolled in Medicare?

Yes. Karlos 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 Karlos Pena accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Karlos 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.

Is Karlos Pena affiliated with any hospitals?

According to CMS data, Karlos Pena is affiliated with Cleveland Clinic Martin North Hospital, Hca Florida Jfk Hospital, Palm Beach Gardens Medical Center, Jupiter Medical Center and Hca Florida Palms West Hospital.

When was this NPI record last updated?

The NPPES record for Karlos Pena was last updated on July 1, 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.