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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLOS ORLANDO PENA III MD
NPI 1467024257
Internal Medicine - Rheumatology in San Antonio, TX

Active since July 12, 2021PECOS Enrolled
903 W MARTIN ST, SAN ANTONIO, TX 78207(210) 358-3400 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, Aug 27, 2026, Apr 30, 2026 and 1 more (4 updates tracked since 2021).

About Carlos Orlando Pena Iii Md NPPES

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

CARLOS ORLANDO PENA III MD (NPI 1467024257) is an individual rheumatology provider in San Antonio, Texas, licensed in Texas (W0262) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467024257
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameCARLOS ORLANDO PENA IIICredential: MD
Location Address903 W MARTIN STSan Antonio, TX 78207-0903
Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (210) 358-3400 · Fax (210) 702-4601
Phone(210) 358-3400
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2021
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1467024257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · W0262
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
903 W MARTIN ST, San Antonio, TX 78207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community First.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Orlando Pena Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466929021
PECOS Enrollment IDI20260430003766
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 Carlos Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates
Same address
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

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

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

MRS. DENISE ANN FLORES LCSW
Social Worker (Clinical)
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-5906
SHANNON MCGEARY CHAPPEL MD
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582
DIANA BECKMANN-MENDEZ FNP
Nurse Practitioner
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3985
MONIKA KARKI
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582
AMELIA ORANDAY MEDRANO CHW
Community Health Worker
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3985
DR. ANISA LEELA SOOKHOO MD
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582
ROBERT SANDERS DO
Pediatrics
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-5437
LAUREN A. GARCIA MS
Genetic Counselor, MS
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582

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 1467024257. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Carlos Pena located?

Carlos Pena practices at 903 W Martin St, San Antonio, TX 78207. The listed phone number is (210) 358-3400.

What is Carlos Pena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carlos Pena enrolled in Medicare?

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

Which organization bills Medicare for Carlos Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Pena reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). 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 Carlos Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Pena accept?

Health plans from Community First 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.

Is Carlos Pena affiliated with any hospitals?

According to CMS data, Carlos Pena is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Pena was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.