CARLOS G. PENA MD
NPI 1447350194
Obstetrics & Gynecology in South Miami, FL

Active since September 23, 2006PECOS EnrolledAccepts Medicare Assignment
6705 SW 57TH AVE STE 310, SOUTH MIAMI, FL 33143(786) 514-6395 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2023, Aug 23, 2023 (2 updates tracked since 2023).

About Carlos G. Pena Md NPPES

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

CARLOS G. PENA MD (NPI 1447350194) is an individual obstetrics & gynecology provider in South Miami, Florida, licensed in Florida (ME96839) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1447350194
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCARLOS G. PENACredential: MD
Location Address6705 SW 57TH AVE STE 310South Miami, FL 33143-3638
Mailing Address6705 Sw 57th Ave Ste 310South Miami, FL 33143-3638 · (786) 514-6395 · Fax (786) 615-4456
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 23, 2006
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1447350194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · ME96839
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License ME96839 (FL)
6705 SW 57TH AVE STE 310, South Miami, FL 33143

Other Identifiers 2

MedicaidAPPLIED FORFL
OtherBC BS OF FLORIDAFL · Application In Process

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

Carlos G. 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 ID9234231713
PECOS Enrollment IDI20070301000522
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 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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 Carlos Pena's NPI number?

The NPI number for Carlos Pena is 1447350194. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Carlos Pena located?

Carlos Pena practices at 6705 SW 57th Ave Ste 310, South Miami, FL 33143. The listed phone number is (786) 514-6395.

What is Carlos Pena's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carlos Pena enrolled in Medicare?

Yes. Carlos 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 Carlos Pena accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Pena was last updated on September 7, 2023. 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.