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JULIO CESAR PENA MD
NPI 1992124069
Pediatrics in Austin, TX

Active since April 15, 2014PECOS Enrolled
1401 LAVACA ST # 1022, AUSTIN, TX 78701(956) 353-9442 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2025, Mar 7, 2023, Feb 14, 2023 (3 updates tracked since 2023).

About Julio Cesar Pena Md NPPES

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

JULIO CESAR PENA MD (NPI 1992124069) is an individual pediatrics provider in Austin, Texas, licensed in Texas (S8632) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992124069
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJULIO CESAR PENACredential: MD
Location Address1401 LAVACA ST # 1022Austin, TX 78701-1634
Mailing Address1401 Lavaca St # 1022Austin, TX 78701-1634 · (956) 353-9442
Phone(956) 353-9442
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1992124069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S8632
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1401 LAVACA ST # 1022, Austin, TX 78701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julio Cesar Pena Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Julio Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Children's Physician Group
146 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000
Commonwealth Healthcare Corporation
7,188 mi
End-Stage Renal Disease (ESRD) Treatment
1 LOWER NAVY HILL ROAD
Saipan, MP 96950
  • Reassigned Medicare billing, Northern Mariana Islands enrollment
  • 200 clinicians in this Medicare group
NPI 1285858290 (670) 234-8950

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Julio Pena's NPI number?

The NPI number for Julio Pena is 1992124069. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Julio Pena located?

Julio Pena practices at 1401 Lavaca St # 1022, Austin, TX 78701. The listed phone number is (956) 353-9442.

What is Julio Pena's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Julio Pena enrolled in Medicare?

Yes. Julio Pena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Julio Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julio Pena reassigns Medicare benefits to 2 organizations: Texas Children's Physician Group (Houston, TX) and Commonwealth Healthcare Corporation (Saipan, MP). 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 Julio Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julio Pena accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Julio 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 Julio Pena was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.