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DEOGRACIAS R PENA MD
NPI 1669483855
Pediatrics - Pediatric Nephrology in Orlando, FL

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
615 E PRINCETON ST, SUITE 401, ORLANDO, FL 32803(407) 303-9311(407) 303-9273 Get Directions Write a Review

NPPES record last updated: September 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deogracias R Pena Md NPPES

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

DEOGRACIAS R PENA MD (NPI 1669483855) is an individual pediatric nephrology provider in Orlando, Florida, licensed in Florida (ME56326) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1669483855
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDEOGRACIAS R PENACredential: MD
Location Address615 E PRINCETON ST, SUITE 401Orlando, FL 32803-1456
Mailing Address615 E Princeton St, Suite 401Orlando, FL 32803-1456 · (407) 303-9311 · Fax (407) 303-9273
Phone(407) 303-9311
Fax(407) 303-9273
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 6, 2014
✔ NPI 1669483855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in FL · ME56326✔ Licensed in TX · J9778
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
615 E PRINCETON ST, Orlando, FL 32803
Open in Google Maps ↗

Other Identifiers 12

Other00U87ZTX · Bcbstx Grp Pin
Other109517TX · Superior Pin
Other5056081TX · Aetna Pin
Medicare UPINE91527
Other1750369203Grp Npi Number
Other75208965TX · Cigna Pin
Other87Y112TX · Bcbstx Pin
Medicare PIN8L21439TX
Other121266102TX · Firstcare Pin
Other1443501TX · Uhc Pin
Other10010075TX · Amerigroup Pin
Medicaid133426012TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Deogracias R 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 ID5799756623
PECOS Enrollment IDI20140814000993
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.

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Referred Medical Equipment & Supplies CMS DME claims 2

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

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 claims360 services$5.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$11.96 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 20

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

YIFAN SHEN
Dietitian, Registered
615 E PRINCETON ST
ORLANDO, FL 32803
Orange County (407) 303-9926
AHMED M AL-MALT M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
615 E PRINCETON ST, SUITE 240
ORLANDO, FL 32803
Orange County (407) 897-3737
DR. CARL ROBERT BARR DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
615 E PRINCETON ST, STE 225
ORLANDO, FL 32803
Orange County (407) 897-3544
MARCELA G GUTIERREZ ARNP
Nurse Practitioner
615 E PRINCETON ST, SUITE 416
ORLANDO, FL 32803
Orange County (407) 303-1687
MS. MARY ALICE MACKENZIE LEINBACH ARNP, CPNP
Nurse Practitioner (Pediatrics)
615 E PRINCETON ST, SUITE 310
ORLANDO, FL 32803
Orange County (407) 898-2767
DR. HOLLY JEAN SKINNER DO
Psychiatry & Neurology (Neurology)
615 E PRINCETON ST, SUITE 540
ORLANDO, FL 32803
Orange County (407) 303-8127
DR. HERDLEY O PAOLINI PHD
Psychologist (Clinical)
615 E PRINCETON ST, SUITE 410
ORLANDO, FL 32803
Orange County (407) 303-9674
OSAMA AL-OMAR M.D.
Urology (Pediatric Urology)
615 E PRINCETON ST, STE 310
ORLANDO, FL 32803
Orange County (407) 303-5781

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 Deogracias Pena's NPI number?

The NPI number for Deogracias Pena is 1669483855. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Deogracias Pena located?

Deogracias Pena practices at 615 E Princeton St Suite 401, Orlando, FL 32803. The listed phone number is (407) 303-9311.

What is Deogracias Pena's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Deogracias Pena enrolled in Medicare?

Yes. Deogracias 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 Deogracias Pena accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Deogracias 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 Deogracias Pena affiliated with any hospitals?

According to CMS data, Deogracias Pena is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Deogracias Pena was last updated on September 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.