Active NPI 1437264686 Individual Practitioner Male Practitioner

Dr. Jose Pena , MD

General Practice • Miami, FL

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jose Pena, MD is a certified General Practice practicing in Miami, FL. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Pena delivers high-quality medical care to the local community at 10 NW 42ND AVE.

Dr. Pena is affiliated with Private Medical Center Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10 Nw 42nd Ave
Ste#300

Miami, FL 331265473

Telephone 3057740742

Fax 3057740836

Associated Practice Facility / Clinic

🏢 Millennium Rehab Center Inc Facility NPI 1902879679

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +5.9 yrs vs City Avg

City Avg: 36.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

333 Specialists

Practicing in Miami, FL (2490 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pena (42 Years) 42 Yrs

Miami Specialty Average (36.1 Years) 36.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	149	37	$160.54	$87.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	11	$250.00	$126.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	11	$109.52	$48.61
71046 X-ray of chest, 2 views	13	12	$120.00	$32.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	37	$150.89	$85.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	12	$250.00	$128.68
71046 X-ray of chest, 2 views	15	12	$120.00	$33.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	40	$151.85	$89.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	14	$250.00	$129.65
71046 X-ray of chest, 2 views	24	18	$120.00	$34.24
93000 Routine ekg using at least 12 leads including interpretation and report	19	16	$95.00	$14.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	267	47	$151.70	$92.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	16	$250.00	$133.49
71046 X-ray of chest, 2 views	29	21	$120.00	$34.13
93000 Routine ekg using at least 12 leads including interpretation and report	21	18	$95.00	$15.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	301	69	$128.72	$71.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	22	$180.11	$104.81
71046 X-ray of chest, 2 views	45	34	$120.00	$33.10
93000 Routine ekg using at least 12 leads including interpretation and report	37	30	$94.86	$17.57
99441 Telephone medical discussion with physician, 5-10 minutes	22	21	$130.00	$21.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	355	72	$129.64	$75.34
71046 X-ray of chest, 2 views	68	48	$120.15	$31.79
93000 Routine ekg using at least 12 leads including interpretation and report	45	35	$95.00	$17.50
76770 Complete ultrasound scan behind abdominal cavity	13	13	$377.69	$112.10
76705 Limited ultrasound scan of abdomen	13	11	$350.00	$90.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	439	89	$123.53	$70.30
71046 X-ray of chest, 2 views	66	51	$120.15	$28.90
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$95.00	$16.56
72050 X-ray of upper spine, 4 or 5 views	16	12	$150.00	$43.10
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	15	$150.00	$57.02
76705 Limited ultrasound scan of abdomen	13	11	$350.00	$86.72
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$130.00	$33.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	543	106	$92.07	$69.71
71020 X-ray of chest, 2 views, front and side	75	54	$120.00	$26.54
93000 Routine ekg using at least 12 leads including interpretation and report	52	47	$95.00	$16.49
76705 Limited ultrasound scan of abdomen	15	14	$336.67	$85.56

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME90676

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Private Medical Center Inc

1800 Sw 27th Ave, Miami, FL 331452400

Phone: 3057940742

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Mauricio Vargas , MD

General Practice

NPI 1811002090

Doctor of Medicine (M.D.)

Dr. Conchita Jackson , MD

General Practice

NPI 1972616043

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 10 NW 42ND AVE, STE#300, MIAMI, FL 331265473 (Tel: 3057740742)

📍

Updated Business Mailing Address July 08, 2007

Registered at 10 NW 42ND AVE, STE#300, MIAMI, FL 331265473 (Tel: 3057740742)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOSE PENA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #ME90676 in FL)

🟢

Initial NPI Registration & Enumeration August 20, 2006

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: 1437264686

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Nw 42nd Ave, Ste#300

Miami, FL 331265473

Phone: 3057740742

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.