DR. MICHAEL R PENA M.D. PHD
NPI 1366732604
Family Medicine in Lovington, NM
About Dr. Michael R Pena M.d. Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL R PENA M.D. PHD (NPI 1366732604) is an individual family medicine provider in Lovington, New Mexico, licensed in New Mexico (MD2017-0882) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Sierra Vista Hospital, and maintains a secondary practice location in Chamberlain.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Michael R Pena M.d. Phd 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Pena reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lovington, NM 88260
- Reassigned Medicare billing, New Mexico enrollment
- 147 clinicians in this Medicare group
Truth Or Consequences, NM 87901
- Reassigned Medicare billing, New Mexico enrollment
- 17 clinicians in this Medicare group
Many, LA 71449
- Reassigned Medicare billing, New Mexico enrollment
- 152 clinicians in this Medicare group
Crossett, AR 71635
- Reassigned Medicare billing, New Mexico enrollment
- 114 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sierra Vista Hospital
Critical Access Hospitals · T Or C, NMNor-Lea Hospital District
Critical Access Hospitals · Lovington, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 88260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Pena's NPI number?
The NPI number for Michael Pena is 1366732604. It was assigned to this individual provider in the NPPES registry on April 7, 2011.
Where is Michael Pena located?
Michael Pena practices at 1600 N Main Ave, Lovington, NM 88260. The listed phone number is (575) 396-6611.
What is Michael Pena's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Pena enrolled in Medicare?
Yes. Michael 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.
Which organizations bill Medicare for Michael Pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pena reassigns Medicare benefits to 4 organizations: Nor-Lea Hospital District (Lovington, NM), Sierra Vista Hospital (Truth Or Consequences, NM), Emergency Staffing Solutions Inc (Many, LA) and Ess Hospitalist LLC (Crossett, AR). Each 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 Michael Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Pena accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Michael 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 Michael Pena affiliated with any hospitals?
According to CMS data, Michael Pena is affiliated with Sierra Vista Hospital and Nor-Lea Hospital District.
When was this NPI record last updated?
The NPPES record for Michael Pena was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Michael R Pena, M.D. PHD · NPI 1366732604
Family Medicine physician in Lovington, New Mexico. Individual provider, active in the CMS NPPES registry since April 7, 2011.
## Identity
- **NPI:** 1366732604 (Entity type: Individual)
- **Enumerated:** April 7, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD2017-0882 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 N MAIN AVE, Lovington, NM 88260-2830
- **Phone:** (575) 396-6611 · **Fax:** (575) 396-4547
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Nor-Lea Hospital District (NPI 1881630036, Lovington, NM); Sierra Vista Hospital (NPI 1760446009, Truth Or Consequences, NM); Emergency Staffing Solutions Inc (NPI 1477590974, Many, LA); Ess Hospitalist LLC (NPI 1881967305, Crossett, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366732604) · Data from the CMS NPPES public registry.