CARLOS ERNESTO PENA PA
NPI 1447408570
Physician Assistant in Douglas, AZ

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
100 E 5TH ST, DOUGLAS, AZ 85607(520) 364-7659(520) 364-8541 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Carlos Ernesto Pena Pa NPPES

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

CARLOS ERNESTO PENA PA (NPI 1447408570) is an individual physician assistant in Douglas, Arizona, licensed in Arizona (4229) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1447408570
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARLOS ERNESTO PENACredential: PA
Location Address100 E 5TH STDouglas, AZ 85607-2859
Mailing Address1205 F. AvenueDouglas, AZ 85607 · (520) 364-1429 · Fax (520) 364-4261
Fax(520) 364-8541
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 3, 2008
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1447408570 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 AZ · 4229
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.
100 E 5TH ST, Douglas, AZ 85607

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 Ernesto Pena Pa 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 ID1254408883
PECOS Enrollment IDI20080924000377
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 85607 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers39 claims64 services$6.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims16 services$1.08 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$5.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$16.07 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier19 claims19 services$33.43 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$43.32 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 15

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

Obstetrics & Gynecology
100 E 5TH ST
DOUGLAS, AZ 85607
Internal Medicine
100 E 5TH ST
DOUGLAS, AZ 85607
General Practice
100 E 5TH ST, CQCH BILLING DEPT
DOUGLAS, AZ 85607
Internal Medicine (Nephrology)
100 E 5TH ST
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
General Practice
100 E 5TH ST
DOUGLAS, AZ 85607
Internal Medicine (Cardiovascular Disease)
100 E 5TH ST
DOUGLAS, AZ 85607

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 1447408570. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Carlos Pena located?

Carlos Pena practices at 100 E 5th St, Douglas, AZ 85607. The listed phone number is (520) 364-7659.

What is Carlos Pena's specialty?

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

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 Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare 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 April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.