DR. BENITO PENA O.D
NPI 1497945919
Optometrist in Kerrville, TX

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment
237 W WATER ST, KERRVILLE, TX 78028(830) 257-6336 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2021, Mar 31, 2020 (2 updates tracked since 2020).

About Dr. Benito Pena O.d NPPES

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

DR. BENITO PENA O.D (NPI 1497945919) is an individual optometrist in Kerrville, Texas, licensed in Texas (7139T) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2007).

NPPES Registry Identity

NPI1497945919
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENITO PENACredential: O.D
Location Address237 W WATER STKerrville, TX 78028-4252
Mailing Address237 W Water StKerrville, TX 78028-4252 · (830) 257-6336
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2007
Enumeration DateJuly 31, 2007
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1497945919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 7139T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
237 W WATER ST, Kerrville, TX 78028

Accepted Insurance

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. Benito Pena O.d 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 ID4183789639
PECOS Enrollment IDI20090217000081
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 Reassignments

3

Medicare enrollment records show Benito Pena reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
500 JUNCTION HWY
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Optometrist
1021 S STATE HIGHWAY 16
Fredericksburg, TX 78624
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Optometrist
2006 N US HIGHWAY 281
Marble Falls, TX 78654
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
143 services141 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
107 services104 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
53 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
24 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78028 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

Optometrist
237 W WATER ST
KERRVILLE, TX 78028

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 Benito Pena's NPI number?

The NPI number for Benito Pena is 1497945919. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Benito Pena located?

Benito Pena practices at 237 W Water St, Kerrville, TX 78028. The listed phone number is (830) 257-6336.

What is Benito Pena's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Benito Pena enrolled in Medicare?

Yes. Benito 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 organizations bill Medicare for Benito Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benito Pena reassigns Medicare benefits to 3 organizations: Pena Optical Solutions LLC (Kerrville, TX), Bp Eye Care Centers (Fredericksburg, TX) and Tso Marble Falls LLC (Marble Falls, TX). Each 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 Benito Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benito Pena accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Benito 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 Benito Pena was last updated on July 6, 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.