Dr. Carlos Pena, MD
- Medicare services, 2024
- 611
- Medicare patients, 2024
- 157
- Part D claims, 2024
- 845
- MIPS score, 2024
- 88
- Hospital affiliations
- 1
- Practice address
- 19056 Ne 29th Ave, Aventura, FL 33180
- Practice phone
- Call (305) 692-9006
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Fresenius Kidney Care Aventura
Dialysis Center - Independent · Aventura, Florida
Find Dr. Pena's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Carlos Pena is a nephrologist in Miami, Florida
Dr. Pena practices at Fresenius Kidney Care Aventura in Aventura, Florida.
Dr. Pena's NPI, 1669435988, was assigned on April 8, 2006. Dr. Pena graduated from Universidad Central del Este Facultad de Medicina in 1982. Dr. Pena holds Florida license ME54800.
- NPI
- 1669435988NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7618044017
- NPI enumeration date
- April 8, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (305) 692-9006
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 70
- Medical school graduation
- 1982
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Carlos Pena practices at Fresenius Kidney Care Aventura in Aventura, Florida
Dr. Pena's primary practice is Fresenius Kidney Care Aventura, at 19056 Ne 29th Ave, Aventura, FL 33180 in Miami-Dade County. The practice phone is (305) 692-9006.
- Fresenius Kidney Care Aventura19056 Ne 29th Ave, Aventura, FL 33180 · Miami-Dade CountyPhone(305) 692-9006
Source: Dmand AI Affiliation Data
Dr. Carlos Pena is affiliated with 3 sites of care and 1 medical group
Dr. Pena's primary practice is Fresenius Kidney Care Aventura in Aventura, Florida. Dr. Pena is also affiliated with HCA Florida Aventura Hospital. The medical group on file is Florida Kidney Physicians. Dmand AI also links Dr. Pena to 1 more group practice or clinic, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Carlos Pena's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pena practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Fresenius Kidney Care Aventura | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Carlos Pena is one of 917 nephrologists in Florida
Nephrology is Dr. Pena's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Pena is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Pena's licenses on file in 3 states: Florida, New York and New Jersey.
Specialties and state licenses
- Nephrology, FloridaPrimary
- New York license
- New Jersey license
Clinical focus
Dmand AI lists acute kidney failure and chronic kidney disease among the conditions Dr. Pena treats.
Nephrologists near Dr. Pena
Counts of nephrologists 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
Dr. Carlos Pena billed Medicare for 611 services in 2024
CMS data shows 611 Medicare services from Dr. Pena across 8 procedure codes in 2024, for 157 Medicare patients. Medicare paid $70,526 for them.
Dr. Pena's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6932024: 39443%
- Tests and treatments
- 2023: 3852024: 15261%
- Other services
- 2023: 02024: 65
Where Dr. Pena's Medicare services took place, 2024
- In an office24540%
- In a facility36660%
Dr. Pena compared with the Florida median for nephrologists, 2024
- Dr. Pena
- Florida median
- Medicare services
- 611vs 1,49059% below
- Medicare patients
- 157vs 38759% below
- Part D claims
- 701vs 93425% below
Medians across 882 nephrologists in Florida with Dmand AI profiles that report each measure.
Dr. 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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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Pena and other nephrologists in Florida.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Carlos Pena treated 157 Medicare patients in 2024, average age 75
CMS counts 157 Medicare patients who saw Dr. Pena in 2024. The largest group is 75 to 84, with 52 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 50% are also on Medicaid. Their average risk score is 5.75, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Pena's median patient age at 72, with 49% women.
Dr. Pena's Medicare patients by age, 2024
Dr. Pena's Medicare patients by sex, 2024
- Women6139%
- Men9661%
Chronic conditions among Dr. Pena's Medicare patients, 2024
- Chronic kidney disease75%
- High blood pressure75%
- High cholesterol75%
- Diabetes69%
- Ischemic heart disease65%
- Heart failure61%
- COPD40%
- Arthritis39%
Share of Medicare patients with each condition. A patient can have several.
Dr. 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 72
Patient panel by sex, all payers
- Women49%
- Men50%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Carlos Pena wrote 845 Medicare Part D claims in 2024
In 2024, Dr. Pena wrote 845 Medicare Part D claims for 171 patients. 57% of them were for generic drugs. CMS names the drug for 701 of them, across 19 drugs with 11 or more claims each, at $305,200 in total drug cost. In 2023, CMS named 710 claims across 19 drugs.
Dr. Pena's Part D claims by kind of drug, 2024
- Generic481 claims57%
- Brand-name364 claims43%
Dr. 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.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7102024: 7011%
Drugs named by CMS: 19 in 2024, 19 in 2023.
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
Dr. Carlos Pena scored 88 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Dr. Pena for performance year 2024, reported as part of a group. Dr. Pena accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Pena's MIPS scores, performance year 2024
- 88of 100Final score
- 70.5of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 74of 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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Dr. Carlos Pena received $8,575 in industry payments from 2016 to 2025
CMS Open Payments shows 257 general payments to Dr. Pena from 32 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 98% of the total. Relypsa, Inc. paid the most, $1,196.
General payments to Dr. Pena by program year, 2016 to 2025
General payments to Dr. Pena by kind, 2016 to 2025
- Food and beverage$8,36798%
- Education$2082%
Companies that paid Dr. Pena the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Carlos Pena has 1 award and honors on record
Dmand AI lists 1 award for Dr. Pena, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Pena
- 2013
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. Carlos Pena graduated from Universidad Central del Este Facultad de Medicina
Dr. Pena graduated from Universidad Central del Este Facultad de Medicina in 1982.
- Medical school
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Carlos Pena accepts plans from 19 insurance carriers
Dr. Pena is in network with 19 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Cigna
- HCSC
- Humana
- +11 more carriersWith a free account
Plan types Dr. Pena accepts, by number of carriers
- PPO13
- Medicare12
- HMO11
- EPO5
- POS5
Source: Dmand AI Insurance Network Data
Sources for Dr. Carlos Pena's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Carlos 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 Dr. Carlos Pena's NPI number?
Dr. Carlos Pena's NPI number is 1669435988. It was assigned on April 8, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Carlos Pena?
Dr. Carlos Pena is a nephrologist in Miami, Florida. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).
Where does Dr. Carlos Pena practice?
Dr. Pena practices at 19056 Ne 29th Ave, Aventura, FL 33180. Dr. Pena's primary practice is Fresenius Kidney Care Aventura in Aventura, Florida. Dmand AI also links Dr. Pena to 1 group practice or clinic.
What is Dr. Carlos Pena's office phone number?
The practice phone on file for Dr. Pena is (305) 692-9006.
What is Dr. Carlos Pena's medical license number?
Dr. Pena holds Florida license ME54800, one of the licenses on file in 3 states.
Which states has Dr. Carlos Pena been licensed in?
Dmand AI has state licenses on file for Dr. Pena in Florida (1989 to 2027), New York (since 1986) and New Jersey (1984 to 1991).
Which hospitals is Dr. Carlos Pena affiliated with?
Dr. Pena is affiliated with HCA Florida Aventura Hospital.
What medical group is Dr. Carlos Pena part of?
Dr. Pena is linked to Florida Kidney Physicians.
Does Dr. Carlos Pena accept Medicare?
Yes. CMS data shows Dr. Pena billed Medicare for 611 services in 2024, and Dr. Pena accepts Medicare assignment.
What is Dr. Carlos Pena's MIPS score?
Dr. Pena's MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.
Show 8 more questionsShow fewer questions
How many Medicare patients does Dr. Carlos Pena see?
CMS counts 157 Medicare patients who saw Dr. Pena in 2024, with an average age of 75.
Is Dr. Carlos Pena board certified?
Yes. Dr. Pena is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Carlos Pena bill to Medicare?
In 2024, Dr. Pena's most billed Medicare services were hospital inpatient care (99232), dialysis (90960) and medicare service (G2211).
Where did Dr. Carlos Pena go to medical school?
Dr. Pena graduated from Universidad Central del Este Facultad de Medicina in 1982.
What drugs does Dr. Carlos Pena prescribe most?
In 2024 Medicare Part D data, Dr. Pena's most prescribed drugs by claims were Farxiga, Amlodipine Besylate and Jardiance.
Has Dr. Carlos Pena received payments from drug or device companies?
CMS Open Payments shows $8,575 in general payments to Dr. Pena from 32 companies from 2016 to 2025. The largest total came from Relypsa, Inc.
How long has Dr. Carlos Pena been practicing?
Dr. Pena graduated from medical school in 1982, 44 years ago.
What insurance does Dr. Carlos Pena accept?
Dr. Pena is in network with 19 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.
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