1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Internal Medicine
  6. NPI Profile

NICOLAS DE LA PENA MD
NPI 1477554772
Internal Medicine - Infectious Disease in Pittsburgh, PA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
5750 CENTRE AVE, SUITE 510, PITTSBURGH, PA 15206(412) 661-1633(412) 661-1631 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicolas De La Pena Md NPPES

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

NICOLAS DE LA PENA MD (NPI 1477554772) is an individual infectious disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD073220L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1477554772
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameNICOLAS DE LA PENACredential: MD
Location Address5750 CENTRE AVE, SUITE 510Pittsburgh, PA 15206-3721
Mailing Address200 Lothrop St, Forbes Tower, Suite 9055Pittsburgh, PA 15213-2536 · (412) 647-3087 · Fax (412) 647-4486
Phone(412) 661-1633
Fax(412) 661-1631
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 9, 2005
Last NPPES UpdateJune 25, 2013
✔ NPI 1477554772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · MD073220L
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5750 CENTRE AVE, Pittsburgh, PA 15206
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH32881PA
Medicare PIN041689PA

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

Nicolas De La 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 ID2365609435
PECOS Enrollment IDI20120201000035
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
666 services200 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
73 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15206 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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.

DEBRA WEINER
Internal Medicine (Geriatric Medicine)
5750 CENTRE AVE, SUITE 400
PITTSBURGH, PA 15206
Allegheny County (412) 655-8030
DR. JULIA L KYCHUN OTD, OTR/L
Occupational Therapist
5750 CENTRE AVE
PITTSBURGH, PA 15206
Allegheny County (412) 665-8035
MRS. ROBIN LYNN CHIMILE CHILESKI PA-C
Physician Assistant (Surgical)
5750 CENTRE AVE, SUITE 360
PITTSBURGH, PA 15206
Allegheny County (412) 361-3950
DR. MARC D. LIANG MD
Surgery (Plastic and Reconstructive Surgery)
5750 CENTRE AVE, SUITE 360
PITTSBURGH, PA 15206
Allegheny County (412) 361-3950
DAVID OWEN HEPPS M.D.
Urology
5750 CENTRE AVE, SUITE 395
PITTSBURGH, PA 15206
Allegheny County (412) 661-3400
SPECIALTIES OF PLASTIC, HAND AND MICROSURGERY PC
Plastic Surgery
5750 CENTRE AVE, SUITE 180
PITTSBURGH, PA 15206
Allegheny County (412) 661-5380
MICHAEL GLUHANICK MD PRIMARY CARE PLLC
Internal Medicine
5750 CENTRE AVE
PITTSBURGH, PA 15206
Allegheny County (412) 500-9970
ALLEGHENY MEDICAL PRACTICE NETWORK
Internal Medicine
5750 CENTRE AVE, CENTRE COMMONS, SUITE 230
PITTSBURGH, PA 15206
Allegheny County (412) 450-1000

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 Nicolas De La Pena's NPI number?

The NPI number for Nicolas De La Pena is 1477554772. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Nicolas De La Pena located?

Nicolas De La Pena practices at 5750 Centre Ave Suite 510, Pittsburgh, PA 15206. The listed phone number is (412) 661-1633.

What is Nicolas De La Pena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nicolas De La Pena enrolled in Medicare?

Yes. Nicolas De La 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.

Is Nicolas De La Pena affiliated with any hospitals?

According to CMS data, Nicolas De La Pena is affiliated with Upmc Mercy, Upmc Altoona and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Nicolas De La Pena was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.