EDWIN JESUS PENA MD
NPI 1942281811
Internal Medicine in Charlotte, NC

Q: What is Edwin Pena's NPI number?

The NPI number for Edwin Pena is 1942281811. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Edwin Pena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Pena was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-6070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 46 more (49 updates tracked since 2018).

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About Edwin Jesus Pena Md NPPES

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

EDWIN JESUS PENA MD (NPI 1942281811) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2013-01474) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1942281811

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameEDWIN JESUS PENACredential: MD

Location Address2001 VAIL AVECharlotte, NC 28207-1248

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 304-6070

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateNovember 8, 2005

Last NPPES UpdateJuly 15, 202449 updates tracked since enumeration

✔ NPI 1942281811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2013-01474

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 2013-01474 (NC)

2001 VAIL AVE, Charlotte, NC 28207

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Secondary Practice Locations 4

Location 1920 Church St N, Suite 255Concord, NC 28025-2927 · Phone (704) 403-1331

Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Location 310628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

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

Edwin Jesus 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 ID2466423025

PECOS Enrollment IDI20130911000153

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 4

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.

285 services117 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.

247 services69 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

94 services92 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

LESLIE KAY RUFFING ADCOCK MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

TAYLOR DEREK JOHNSON MD

Anesthesiology

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-5000

JENNIFER J CLINE PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5837

VISHALAKSHI KALYANA SUNDARAM MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

KRYSTENE LYNN HELGESON PA

Physician Assistant

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-6070

ESTHER REBECCA LANDIS HAYES MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

SHENA S PATEL PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5632

DUPAL PATEL MD

Family Medicine (Geriatric Medicine)

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

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 Edwin Pena's NPI number?

The NPI number for Edwin Pena is 1942281811. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Edwin Pena located?

Edwin Pena practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-6070.

What is Edwin Pena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Pena enrolled in Medicare?

Yes. Edwin 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 Edwin Pena affiliated with any hospitals?

According to CMS data, Edwin Pena is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Edwin Pena was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.