SIERRA PENA MD
NPI 1962573964
Family Medicine in San Luis Obispo, CA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401(805) 543-4043(805) 543-7640 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sierra Pena Md NPPES

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

SIERRA PENA MD (NPI 1962573964) is an individual family medicine provider in San Luis Obispo, California, licensed in California (C193631) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962573964
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIERRA PENACredential: MD
Location Address1250 PEACH ST STE BSan Luis Obispo, CA 93401-2869
Mailing Address1250 Peach St Ste BSan Luis Obispo, CA 93401-2869 · (805) 543-4043
Fax(805) 543-7640
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1998
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1962573964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · C193631 Licensed in WA · MD00039993
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1250 PEACH ST STE B, San Luis Obispo, CA 93401

Secondary Practice Locations 2

Location 11250 Peach St Ste ASan Luis Obispo, CA 93401-2871 · Phone (805) 543-4043 · Fax (805) 543-7640
Location 23400 California Ave SW, Suite 300Seattle, WA 98116-3307 · Phone (206) 320-3399 · Fax (206) 320-5506

Accepted 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

Sierra 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 ID7315937273
PECOS Enrollment IDI20220707003099
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 3

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 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.
36 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 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.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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 7

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

Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Nurse Practitioner (Adult Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Family Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Physician Assistant
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Clinic/Center (Community Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401

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 Sierra Pena's NPI number?

The NPI number for Sierra Pena is 1962573964. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Sierra Pena located?

Sierra Pena practices at 1250 Peach St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 543-4043.

What is Sierra Pena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sierra Pena enrolled in Medicare?

Yes. Sierra 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 Sierra Pena accept?

Health plans from PacificSource Health Plans and Select Health list Sierra 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 Sierra Pena affiliated with any hospitals?

According to CMS data, Sierra Pena is affiliated with Lds Hospital and Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Sierra Pena was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.