DR. MICHAEL R PENA M.D. PHD
NPI 1366732604
Family Medicine in Lovington, NM

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
1600 N MAIN AVE, LOVINGTON, NM 88260(575) 396-6611(575) 396-4547 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 21, 2017 (2 updates tracked since 2017).

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

NPI1366732604
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL R PENACredential: M.D. PHD
Location Address1600 N MAIN AVELovington, NM 88260-2830
Mailing Address1600 N Main AveLovington, NM 88260-2830 · (575) 396-6611 · Fax (575) 396-4547
Fax(575) 396-4547
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 7, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1366732604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NM · MD2017-0882 Licensed in NE · 26460 Licensed in SD · 8607 Licensed in PA · MD443240
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 N MAIN AVE, Lovington, NM 88260

Secondary Practice Location 1

Location 1300 S Byron BlvdChamberlain, SD 57325-9741 · Phone (605) 234-6551 · Fax (605) 234-7260

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. 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.

PECOS PAC ID2668643560
PECOS Enrollment IDI20171208000608
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services45 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.
43 services17 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
22 services21 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.
13 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

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, NM
OwnershipGovernment - Local
CMS Certification Number321300
Location800 East 9th AvenueT Or C, NM 87901 · Sierra County

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

Physician 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.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims37 services$20.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers37 claims37 services$116.94 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 20

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

Internal Medicine (Cardiovascular Disease)
1600 N MAIN AVE
LOVINGTON, NM 88260
Family Medicine
1600 N MAIN AVE
LOVINGTON, NM 88260
Nurse Practitioner (Family)
1600 N MAIN AVE
LOVINGTON, NM 88260
Physical Therapist
1600 N MAIN AVE
LOVINGTON, NM 88260
Counselor (Professional)
1600 N MAIN AVE
LOVINGTON, NM 88260
Pediatrics
1600 N MAIN AVE
LOVINGTON, NM 88260
Internal Medicine
1600 N MAIN AVE
LOVINGTON, NM 88260
Social Worker (Clinical)
1600 N MAIN AVE
LOVINGTON, NM 88260

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.

What insurance does Michael Pena accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, 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.