Carlos J. Pena, PA-C

  • Carmichael, CA
  • Physician assistant
NPI1245687052PAC ID7517253586
Medicare services, 2024
298
Medicare patients, 2024
288
Part D claims, 2024
349
MIPS score, 2024
97
Hospital affiliations
2
Practice address
6501 Coyle Ave, Carmichael, CA 95608
Practice phone
Call (916) 537-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Dignity Health - Mercy San Juan Medical Center

Hospital · Carmichael, California

See all 10 affiliations

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Carlos J. Pena is a physician assistant in Carmichael, California

Carlos Pena practices at Dignity Health - Mercy San Juan Medical Center in Carmichael, California, part of CommonSpirit Health.

Carlos Pena's NPI, 1245687052, was assigned on May 21, 2016. Carlos Pena holds California license PA53458.

NPI and contact details
Medicare PAC ID
7517253586
NPI enumeration date
May 21, 2016
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(916) 537-5000
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
36
Medical school graduation
2016

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Carlos J. Pena practices at Dignity Health - Mercy San Juan Medical Center in Carmichael, California

Carlos Pena's primary practice is Dignity Health - Mercy San Juan Medical Center, at 6501 Coyle Ave, Carmichael, CA 95608 in Sacramento County. The practice phone is (916) 537-5000.

Source: Dmand AI Affiliation Data

Carlos J. Pena is affiliated with 5 sites of care and 5 medical groups

Carlos Pena's primary practice is Dignity Health - Mercy San Juan Medical Center in Carmichael, California, part of CommonSpirit Health. Carlos Pena is also affiliated with UC Davis Medical Center. The medical group on file is Vituity. Dmand AI also links Carlos Pena to 4 more medical groups and 3 group practices and clinics, each named with a free account.

See all 10 affiliations for Carlos Pena

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Carlos J. Pena's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Carlos Pena practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Dignity Health - Mercy San Juan Medical CenterAvailable with a free account
+4 more sites and 4 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Carlos J. Pena is one of 11,482 physician assistants in California

Physician assistant is Carlos Pena's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Carlos Pena is licensed in California.

Specialties and state licenses

  • Physician assistant, CaliforniaPrimaryLicense PA53458 · taxonomy 363A00000X

Clinical focus

Dmand AI lists alcohol use disorders, asthma and chronic obstructive pulmonary disease (COPD) among the conditions Carlos Pena treats.

Physician assistants near Carlos Pena

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Carlos J. Pena billed Medicare for 298 services in 2024

CMS data shows 298 Medicare services from Carlos Pena across 3 procedure codes in 2024, for 288 Medicare patients. Medicare paid $28,904 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024298
Medicare patients288
Paid by Medicare$28,904
Procedure codes3

Carlos Pena compared with the California median for physician assistants, 2024

  • Carlos Pena
  • California median
Medicare services
298vs 20446% above
Medicare patients
288vs 1052.7 times
Part D claims
189vs 24322% below

Medians across 7,065 physician assistants in California with Dmand AI profiles that report each measure.

Carlos Pena's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Carlos J. Pena treated 288 Medicare patients in 2024, average age 72

CMS counts 288 Medicare patients who saw Carlos Pena in 2024. The largest group is 65 to 74, with 112 patients. 75% of them have high blood pressure, and 69% have high cholesterol. 60% are also on Medicaid. Their average risk score is 1.94, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Carlos Pena's median patient age at 48, with 53% women.

Medicare patients, 2024288
Average age72
Average risk score1.94
Also on Medicaid60%

Carlos Pena's Medicare patients by age, 2024

Carlos Pena's Medicare patients by sex, 2024

  • Women15855%
  • Men13045%

Chronic conditions among Carlos Pena's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol69%
  3. Arthritis49%
  4. Diabetes42%
  5. Mood disorders34%
  6. Anxiety30%
  7. Chronic kidney disease30%
  8. Depression30%

Share of Medicare patients with each condition. A patient can have several.

Carlos Pena's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 48

Patient panel by sex, all payers

  • Women53%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Carlos J. Pena wrote 349 Medicare Part D claims in 2024

In 2024, Carlos Pena wrote 349 Medicare Part D claims for 211 patients. 93% of them were for generic drugs. CMS names the drug for 189 of them, across 9 drugs with 11 or more claims each, at $1,113 in total drug cost.

Part D claims, 2024349
Drugs named by CMS9
Total drug cost$1,113
Part D patients211

Carlos Pena's Part D claims by kind of drug, 2024

  • Generic324 claims93%
  • Brand-name and other25 claims7%

Carlos Pena's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Carlos Pena's Part D claims, 2024

  • Opioids13%46 of 349 claims
  • Antibiotics24%83 of 349 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Carlos Pena

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Carlos J. Pena scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Carlos Pena for performance year 2024, reported as part of a group. Carlos Pena accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Carlos Pena's MIPS scores, performance year 2024

  • 97of 100Final score
  • 90of 100Quality
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Sources for Carlos J. Pena's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Carlos J. Pena

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Carlos J. Pena's NPI number?

Carlos J. Pena's NPI number is 1245687052. It was assigned on May 21, 2016, and it is active in the NPI Registry.

What does Carlos J. Pena specialize in?

Carlos J. Pena is a physician assistant in Carmichael, California. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Carlos J. Pena practice?

Carlos Pena practices at 6501 Coyle Ave, Carmichael, CA 95608. Carlos Pena's primary practice is Dignity Health - Mercy San Juan Medical Center in Carmichael, California, part of CommonSpirit Health. Dmand AI also links Carlos Pena to 4 medical groups and 3 group practices and clinics.

What is Carlos J. Pena's office phone number?

The practice phone on file for Carlos Pena is (916) 537-5000.

What is Carlos J. Pena's medical license number?

Carlos Pena holds California license PA53458.

Which hospitals is Carlos J. Pena affiliated with?

Carlos Pena practices at Dignity Health - Mercy San Juan Medical Center in Carmichael, California. Carlos Pena is also affiliated with UC Davis Medical Center.

What medical group is Carlos J. Pena part of?

Carlos Pena is linked to Vituity. Dmand AI links Carlos Pena to 4 more medical groups.

Does Carlos J. Pena accept Medicare?

Yes. CMS data shows Carlos Pena billed Medicare for 298 services in 2024, and Carlos Pena accepts Medicare assignment.

What is Carlos J. Pena's MIPS score?

Carlos Pena's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.

How many Medicare patients does Carlos J. Pena see?

CMS counts 288 Medicare patients who saw Carlos Pena in 2024, with an average age of 72.

Show 3 more questionsShow fewer questions

What services does Carlos J. Pena bill to Medicare?

In 2024, Carlos Pena's most billed Medicare services were emergency department visit (99284), emergency department visit (99285) and critical care (99291).

What drugs does Carlos J. Pena prescribe most?

In 2024 Medicare Part D data, Carlos Pena's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Methylprednisolone and Ondansetron ODT.

How long has Carlos J. Pena been practicing?

Carlos Pena graduated from medical school in 2016, 10 years ago.

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