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DR. ADAM PAUL PENA MD
NPI 1447875224
Urology in Gibson City, IL

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-2212(217) 784-2572 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Jun 8, 2020 (2 updates tracked since 2020).

About Dr. Adam Paul Pena Md NPPES

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

DR. ADAM PAUL PENA MD (NPI 1447875224) is an individual urology provider in Gibson City, Illinois, licensed in Illinois (036176921) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Warner Hospital And Health Services, and is a graduate of University Of California, Geffen School Of Medicine (2025).

NPPES Registry Identity

NPI1447875224
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ADAM PAUL PENACredential: MD
Location Address1120 N MELVIN STGibson City, IL 60936-1477
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251
Phone(217) 784-2212
Fax(217) 784-2572
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2025
Enumeration DateJune 8, 2020
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1447875224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036176921
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1120 N MELVIN ST, Gibson City, IL 60936
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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. Adam Paul 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 ID648651729
PECOS Enrollment IDI20251002001163
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.

Medicare Billing Reassignment

Medicare enrollment records show Adam Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibson Community Hospital Association
Same address
Urology
1120 N MELVIN ST
Gibson City, IL 60936
  • Reassigned Medicare billing, Illinois enrollment
  • 201 clinicians in this Medicare group
NPI 1043813454 (217) 784-2212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141317
Location1120 N Melvin StreetGibson City, IL 60936 · Ford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60936 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

MALCOLM TAYLOR ATC
Specialist/Technologist (Athletic Trainer)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-4251
MRS. CYNTHIA-LEWIS LEE LCSW
Social Worker (Clinical)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-4540
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Urology
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-2212
MRS. JODIE VAUGHN APN
Nurse Practitioner (Family)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-2258
DR. DONNA IHSAN HAKKY DMD
Dentist
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-4251
MONICA O'NEILL LCSW
Social Worker (Clinical)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (219) 863-8531
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Internal Medicine (Pulmonary Disease)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-2212
GIBSON COMMUNITY HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Ford County (217) 784-4251

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 Adam Pena's NPI number?

The NPI number for Adam Pena is 1447875224. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Adam Pena located?

Adam Pena practices at 1120 N Melvin St, Gibson City, IL 60936. The listed phone number is (217) 784-2212.

What is Adam Pena's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Adam Pena enrolled in Medicare?

Yes. Adam 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 organization bills Medicare for Adam Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Pena reassigns Medicare benefits to Gibson Community Hospital Association (Gibson City, IL). The 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 Adam Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adam Pena affiliated with any hospitals?

According to CMS data, Adam Pena is affiliated with Warner Hospital And Health Services and Gibson Community Hospital.

When was this NPI record last updated?

The NPPES record for Adam Pena was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.