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SAMUEL PENA PA
NPI 1396917480
Physician Assistant in Edinburg, TX

Active since March 28, 2008PECOS Enrolled
4302 S SUGAR RD STE 213, EDINBURG, TX 78539(956) 378-6611(956) 378-6070 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Pena Pa NPPES

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

SAMUEL PENA PA (NPI 1396917480) is an individual physician assistant in Edinburg, Texas, licensed in Texas (PA04603) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396917480
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL PENACredential: PA
Location Address4302 S SUGAR RD STE 213Edinburg, TX 78539-9140
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 378-6611 · Fax (956) 378-6070
Phone(956) 378-6611
Fax(956) 378-6070
Sole ProprietorNo
Enumeration DateMarch 28, 2008
Last NPPES UpdateJuly 21, 2022
✔ NPI 1396917480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA04603
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4302 S SUGAR RD STE 213, Edinburg, TX 78539
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Other Identifiers 1

Medicaid3368243-02TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Pena Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samuel Pena's NPI number?

The NPI number for Samuel Pena is 1396917480. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Samuel Pena located?

Samuel Pena practices at 4302 S Sugar Rd Ste 213, Edinburg, TX 78539. The listed phone number is (956) 378-6611.

What is Samuel Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Pena enrolled in Medicare?

Yes. Samuel Pena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Pena was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.