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Active NPI 1427587740 Individual Practitioner Female Practitioner

Dr. Sandra Michelle Pena , MD

Dermatology • Lakeland, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Pena, MD is a certified Dermatology practicing in Lakeland, FL. With approximately 9 years of clinical experience since graduating from Cooper Medical College in 2017, Dr. Pena delivers high-quality medical care to the local community at 202 LAKE MIRIAM DR STE 1.

Dr. Pena is affiliated with Leavitt Medical Associates Of Florida Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

202 Lake Miriam Dr Ste 1

Lakeland, FL 338132180

Telephone 8664003376
Fax 8637090273

Medicare Profile & Education

Medical School

Cooper Medical College

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Lakeland, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -15.5 yrs vs City Avg
City Avg: 24.5 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Lakeland, FL (1273 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pena (9 Years) 9 Yrs
Lakeland Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
183 42 $25.00 $6.22
99213 Established patient office or other outpatient visit, typically 15 minutes
89 81 $318.00 $87.44
17000 Destruction of skin growth
65 59 $245.00 $47.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 49 $446.00 $124.67
17110 Destruction of up to 14 skin growths
52 45 $420.00 $106.96
11102 Tangential biopsy of single skin lesion
26 26 $380.00 $89.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $393.00 $105.87
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
18 16 $1111.50 $387.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 15 $201.00 $54.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $582.00 $163.82
96574 Application of light with debridement to destroy precancer skin growth
11 11 $1074.00 $256.85

Medical Specialties & State Licenses

CMS Verified: 2023-08-24
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME162739

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Leavitt Medical Associates Of Florida Inc

202 Lake Miriam Dr, Lakeland, FL 338132188

Phone: 8636472333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicky Gazy

Dermatology

NPI 1104311075
Niti Amin , PA-C

Physician Assistant

NPI 1114356573

Physician Assistant (Certified)

Courtney Oloughlin , PA-C

Physician Assistant

NPI 1124743125

Physician Assistant (Certified)

Dr. Timothy Lian , MD

Otolaryngology - Facial Plastic Surgery

NPI 1154355493

Doctor of Medicine (M.D.)

Hannah Leonard , PA-C

Physician Assistant

NPI 1154871887

Physician Assistant (Certified)

Alice Beard , PA-C

Physician Assistant

NPI 1164532552

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 24, 2023

Registered at 202 LAKE MIRIAM DR STE 1, LAKELAND, FL 338132180 (Tel: 8664003376)

📍
Updated Business Mailing Address August 24, 2023

Registered at 202 LAKE MIRIAM DR STE 1, LAKELAND, FL 338132180 (Tel: 8664003376)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2023

Dermatology (License #ME162739 in FL)

📍
Updated Practice Location August 17, 2018

Registered at 230 N BROAD ST, PHILADELPHIA, PA 19102 (Tel: 2157627000)

📍
Updated Business Mailing Address August 17, 2018

Registered at 500 22ND ST S STE 3400, BIRMINGHAM, AL 352333110 (Tel: 2055029962)

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2017

Registered at 230 N BROAD ST, PHILADELPHIA, PA 191021121 (Tel: 2157627000)

📍
Updated Business Mailing Address June 08, 2017

Registered at 19 SHERMAN PATH APT B, MAPLE SHADE, NJ 080528499 (Tel: 9082684232)

👤
Provider Name / Credentials Updated June 08, 2017

Recorded as SANDRA PENA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Internal Medicine (License #MT213599 in PA)

🟢
Initial NPI Registration & Enumeration June 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427587740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2017
Last Update: August 24, 2023
Sole Proprietor: No

Mailing Address

202 Lake Miriam Dr Ste 1

Lakeland, FL 338132180

Phone: 8664003376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.