Active NPI 1467407601 Individual Practitioner Male Practitioner

Dr. Alberto A Pena , MD

Colon & Rectal Surgery • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alberto Pena, MD is a certified Colon & Rectal Surgery practicing in Mcallen, TX. With approximately 24 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2002, Dr. Pena delivers high-quality medical care to the local community at 4211 N JACKSON RD.

Dr. Pena is affiliated with Gastroenterology Consultants Of South Texas, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4211 N Jackson Rd

Mcallen, TX 785046907

Telephone 9563654400

Fax 9563654111

Associated Practice Facility / Clinic

🏢 Gastroenterology Consultants Of South Texas, Pllc Facility NPI 1821127002

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Mcallen, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +6.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Mcallen, TX (213 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pena (24 Years) 24 Yrs

Mcallen Specialty Average (17.8 Years) 17.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	83	$379.50	$118.29
99213 Established patient office or other outpatient visit, typically 15 minutes	55	48	$267.15	$84.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$490.17	$151.81
46600 Diagnostic examination of the anus using an endoscope	36	35	$355.98	$108.07
46221 Removal of external hemorrhoids by rubber banding	13	12	$858.03	$262.46
45331 Biopsy of lower large bowel using a flexible endoscope	12	11	$877.65	$58.48
49905 Repair of abdomen using abdominal lining graft	12	11	$1011.96	$307.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	143	$267.15	$88.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	151	$379.50	$124.63
46600 Diagnostic examination of the anus using an endoscope	77	65	$355.98	$116.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$490.17	$160.68
91120 Testing of tone and sensation of rectum and anus	28	28	$1572.75	$495.67
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	28	28	$193.74	$62.39
46221 Removal of external hemorrhoids by rubber banding	26	22	$858.03	$277.29
45380 Biopsy of large bowel using an endoscope	22	21	$1323.03	$152.87
49905 Repair of abdomen using abdominal lining graft	17	17	$1011.96	$326.23
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$5224.47	$1653.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	151	$273.46	$87.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	135	$383.89	$124.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$490.17	$161.83
46600 Diagnostic examination of the anus using an endoscope	101	95	$355.98	$121.19
45380 Biopsy of large bowel using an endoscope	29	29	$1323.03	$138.25
46221 Removal of external hemorrhoids by rubber banding	26	19	$858.03	$279.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$327.60	$109.40
49905 Repair of abdomen using abdominal lining graft	24	23	$1011.96	$337.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	14	$299.88	$95.05
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1371.30	$233.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	64	$240.50	$98.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$275.00	$134.25
46600 Diagnostic examination of the anus using an endoscope	58	57	$175.00	$39.57
49905 Repair of abdomen using abdominal lining graft	24	24	$1621.00	$342.15
45380 Biopsy of large bowel using an endoscope	21	21	$1073.00	$141.08
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$151.11	$66.43
45341 Ultrasound exam of lower large bowel using a flexible endoscope	17	12	$261.00	$122.03
99443 Telephone medical discussion with physician, 21-30 minutes	15	13	$330.00	$98.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$192.00	$82.21
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	13	13	$3798.00	$1724.83
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	13	13	$5479.00	$1300.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$275.00	$134.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$275.00	$125.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	79	$173.00	$77.47
46600 Diagnostic examination of the anus using an endoscope	60	58	$175.00	$39.27
49905 Repair of abdomen using abdominal lining graft	28	28	$1621.00	$344.26
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$140.00	$50.86
45380 Biopsy of large bowel using an endoscope	18	17	$1073.00	$163.01
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	17	17	$3798.00	$1718.54
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	16	14	$287.00	$38.55
46221 Removal of external hemorrhoids by rubber banding	16	13	$1075.00	$177.90
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$135.00	$38.38
91120 Testing of tone and sensation of rectum and anus	16	16	$810.00	$49.70
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$148.44	$50.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$173.00	$78.77
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	12	12	$5479.00	$1305.24
45341 Ultrasound exam of lower large bowel using a flexible endoscope	11	11	$261.00	$124.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	155	$173.00	$77.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$275.00	$126.17
99213 Established patient office or other outpatient visit, typically 15 minutes	129	119	$140.00	$50.44
46600 Diagnostic examination of the anus using an endoscope	108	104	$175.00	$40.06
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	33	32	$37.00	$11.95
45380 Biopsy of large bowel using an endoscope	32	32	$1073.00	$171.94
49905 Repair of abdomen using abdominal lining graft	28	28	$1621.00	$353.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	14	$242.00	$102.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$192.00	$75.06
46221 Removal of external hemorrhoids by rubber banding	19	13	$409.00	$181.24
45341 Ultrasound exam of lower large bowel using a flexible endoscope	12	12	$261.00	$125.26
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	12	11	$115.00	$41.56
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$3796.14	$1796.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	177	$140.00	$50.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	156	$173.00	$76.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$275.00	$125.64
46600 Diagnostic examination of the anus using an endoscope	106	99	$175.00	$40.07
46221 Removal of external hemorrhoids by rubber banding	39	29	$409.00	$185.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	16	$242.00	$101.71
45380 Biopsy of large bowel using an endoscope	31	31	$1073.00	$183.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$192.00	$74.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$540.00	$197.74
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	16	16	$5479.00	$1322.90
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	16	16	$3790.56	$1729.20
91120 Testing of tone and sensation of rectum and anus	14	13	$810.00	$49.01
45341 Ultrasound exam of lower large bowel using a flexible endoscope	14	13	$261.00	$123.63
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	14	13	$115.00	$40.89
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	13	13	$287.00	$40.73
49905 Repair of abdomen using abdominal lining graft	12	12	$1621.00	$319.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	258	204	$130.11	$67.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	129	$189.90	$99.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	164	164	$290.18	$151.81
46600 Diagnostic examination of the anus using an endoscope	115	113	$140.00	$80.76
99213 Established patient office or other outpatient visit, typically 15 minutes	43	43	$140.00	$46.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	18	$193.80	$97.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$275.00	$116.47
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	34	32	$244.15	$32.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$173.00	$72.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$190.34	$99.71
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$820.00	$219.81
46600 Diagnostic examination of the anus using an endoscope	24	24	$175.00	$36.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$395.50	$188.98
91120 Testing of tone and sensation of rectum and anus	18	18	$670.00	$382.00
46221 Removal of external hemorrhoids by rubber banding	18	15	$430.00	$246.71
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$370.00	$63.86
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	15	15	$2845.20	$1261.01
76872 Ultrasound scan of pelvic region through rectum	14	14	$199.11	$31.58
45331 Biopsy of lower large bowel using a flexible endoscope	11	11	$332.18	$44.32
45341 Ultrasound exam of lower large bowel using a flexible endoscope	11	11	$296.45	$111.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$586.36	$175.97

Medical Specialties & State Licenses

CMS Verified: 2024-05-16

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License TX M2444

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX M2444

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

179928003 (TX)

Hospital & Practice Group Affiliations

Gastroenterology Consultants Of South Texas, Pllc

512 Victoria Ln, Harlingen, TX 785503227

Phone: 9563654400

Gastroenterology Consultants Of South Texas, Pllc

720 N 77 Sunshinestrip, Harlingen, TX 785508848

Phone: 9563654400

Secondary Practice Locations

512 Victoria Ln Ste 2

Harlingen, TX 785503227

Phone: 9563654400

305 Lorenaly Dr

Brownsville, TX 785264333

Phone: 9563654400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Maribel Deponce , PA-C

Physician Assistant - Medical

NPI 1003047523

Physician Assistant (Certified)

Nadia Lozano , APRN, FNP-C

Nurse Practitioner - Family

NPI 1023688645

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Elizabeth Salinas , PA

Physician Assistant - Medical

NPI 1053618082

Physician Assistant

Dr. Mauro Silva , MD, MPH

Internal Medicine - Gastroenterology

NPI 1053815159

Doctor of Medicine (M.D.), Master of Public Health

Luis Villegas , PA

Physician Assistant - Medical

NPI 1073244927

Physician Assistant

Dr. Henneth Corado Montenegro , MD

Internal Medicine

NPI 1104159011

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location May 16, 2024

Registered at 4211 N JACKSON RD, MCALLEN, TX 785046907 (Tel: 9563654400)

📍

Updated Business Mailing Address June 15, 2022

Registered at 512 VICTORIA LN STE 2, HARLINGEN, TX 785503227 (Tel: 9563654400)

📍

Updated Practice Location March 24, 2022

Registered at 533 PECAN BLVD, MCALLEN, TX 785012356 (Tel: 9563654400)

📍

Updated Practice Location August 28, 2018

Registered at 1100 E DOVE AVE STE 300, MCALLEN, TX 78504 (Tel: 9563628170)

✅

NPI Profile Active November 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2017

Registered at 5323 S MCCOLL RD, EDINBURG, TX 785399115 (Tel: 9566828700)

📍

Updated Business Mailing Address November 03, 2017

Registered at PO BOX 2975, MCALLEN, TX 785022975 (Tel: 9566828700)

👤

Provider Name / Credentials Updated November 03, 2017

Recorded as ALBERTO PENA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2017

Surgery (License #M2444 in TX)

✅

NPI Profile Active September 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2008

Registered at 2821 MICHAEL ANGELO, SUITE 401, EDINBURG, TX 785391404 (Tel: 9566828700)

📍

Updated Business Mailing Address September 10, 2008

Registered at 2821 MICHAEL ANGELO, SUITE 401, EDINBURG, TX 785391404 (Tel: 9566828700)

👤

Provider Name / Credentials Updated September 10, 2008

Recorded as ALBERTO PENA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2008

Surgery (License #M2444 in TX)

🟢

Initial NPI Registration & Enumeration May 24, 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: 1467407601

Entity Type:

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

Enumeration Date: May 24, 2006

Last Update: May 16, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

512 Victoria Ln Ste 2

Harlingen, TX 785503227

Phone: 9563654400

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.