DR. ENRIQUE GARCIA PENA M.D.
NPI 1972798031
Orthopaedic Surgery in Richmond, TX

Q: What is Enrique Garcia Pena's NPI number?

The NPI number for Enrique Garcia Pena is 1972798031. It was assigned to this individual provider in the NPPES registry on September 12, 2007. The provider is also known as Dr. Enrique Garcia Pena M.D..

Q: What is Enrique Garcia Pena's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment

22001 SOUTHWEST FWY STE 300, RICHMOND, TX 77469(281) 633-4940(281) 633-4943 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2019, May 30, 2019, Feb 5, 2019 (3 updates tracked since 2019).

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About Dr. Enrique Garcia Pena M.d. NPPES

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

DR. ENRIQUE GARCIA PENA M.D. (NPI 1972798031) is an individual orthopaedic surgery provider in Richmond, Texas, licensed in Texas (P4168) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and is a graduate of University Of Puerto Rico School Of Medicine (2007).

NPPES Registry Identity

NPI1972798031

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. ENRIQUE GARCIA PENACredential: M.D.

Location Address22001 SOUTHWEST FWY STE 300Richmond, TX 77469-7001

Mailing Address4911 Sandhill DrSugar Land, TX 77479-5320 · (281) 238-7870 · Fax (281) 633-4985

Phone(281) 633-4940

Fax(281) 633-4943

Sole ProprietorYes

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2007

Enumeration DateSeptember 12, 2007

Last NPPES UpdateJune 7, 20193 updates tracked since enumeration

✔ NPI 1972798031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · P4168

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

22001 SOUTHWEST FWY STE 300, Richmond, TX 77469

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Other Names 1

Professional Name (2)Dr. Enrique Garcia Pena M.d.

Other Identifiers 1

OtherP4168TX · Tmb

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Enrique Garcia Pena M.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 ID7012146004

PECOS Enrollment IDI20190108003369

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

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 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.

24 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450638

Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450644

Location12141 Richmond AveHouston, TX 77082 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

75%519 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

81%58 patients4/55-star benchmark: 99%

Patient-Generated Health Data

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

0%488 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

71%278 patients3/55-star benchmark: 97%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

6%488 patients1/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 54 patients

0%54 patients5/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

1%488 patients

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 7% · 29 patients

Patients physicalActivity: 31% · 29 patients

86%29 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 9

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

STEVEN M THOMAS M.D.

Surgery