Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Carlos Ernesto Pena , PA

Physician Assistant • Douglas, AZ

Active NPI 1447408570 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

100 E 5th St
Douglas, AZ 856072859

Call 5203647659 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 E 5th St

Douglas, AZ 856072859

Telephone 5203647659
Fax 5203648541
Organization at the Same NPPES Address or Phone
Copper Queen Medical Associates Douglas Facility NPI 1942217088

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Bisbee Hospital Association. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

30-day fills

15,708 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$665,392 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,019.74 across 28 records.

By nature of payment

  • Food and Beverage: $1,019.74 across 28 records.

Reporting-company totals (3 largest of 10)

  • MIMEDX Group, Inc.: $621.21 across 13 records.
  • AstraZeneca Pharmaceuticals LP: $180.10 across 4 records.
  • Amgen Inc.: $50.11 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Carlos Pena has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Carlos Pena as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Douglas and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: 260. Middle half: 86 to 858.

Too few clinicians listed under Physician Assistant in Douglas have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: $4,301. Middle half: $765 to $83,048.

Too few clinicians listed under Physician Assistant in Douglas have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Physician Assistant with a practice address in Douglas, AZ (3,673 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 28 records totaling $1,019.74.

Manufacturer Payment Nature Product Type Amount ($)
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $127.88
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $125.00
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $120.83
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $109.87
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $55.26
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $48.68
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $45.78
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
STRAVIX General $35.87
Hydrofera LLC
Food and Beverage
In-kind items and services
CUTIMED SORBACT General $32.26
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $29.88
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BYETTA General $29.87
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $22.03
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $18.25
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $17.73
Amgen Inc.
Food and Beverage
In-kind items and services
Repatha General $17.58
MIMEDX Group, Inc.
Food and Beverage
In-kind items and services
— General $17.44
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $17.27
CooperSurgical, Inc.
Food and Beverage
In-kind items and services
Paragard T 380A General $17.04
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $16.77
Amgen Inc.
Food and Beverage
In-kind items and services
EVENITY General $16.48
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $16.05
Aimmune Therapeutics, Inc.
Food and Beverage
In-kind items and services
ZENPEP General $15.76
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $15.62
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BYETTA General $13.70
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $11.53

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 558 43,307 $9,781.39 153
Lisinopril Lisinopril 454 34,934 $4,859.12 124
Amlodipine Besylate Amlodipine Besylate 419 32,191 $4,392.57 114
Metformin Hcl Metformin Hcl 384 29,492 $3,018.18 109
Levothyroxine Sodium Levothyroxine Sodium 337 25,440 $4,593.84 82
Losartan Potassium Losartan Potassium 272 20,560 $3,457.13 66
Gabapentin Gabapentin 271 10,794 $3,594.07 66
Hydrochlorothiazide Hydrochlorothiazide 169 12,784 $710.07 44
Metoprolol Tartrate Metoprolol Tartrate 151 11,211 $1,203.11 42
Trulicity Dulaglutide 142 7,870 $252,947.62 34
Omeprazole Omeprazole 140 9,544 $2,418.64 40
Tamsulosin Hcl Tamsulosin Hcl 114 9,053 $3,224.72 37
Rosuvastatin Calcium Rosuvastatin Calcium 114 7,534 $2,618.21 30
Carvedilol Carvedilol 113 8,410 $896.82 34
Glipizide Er Glipizide 113 8,190 $2,036.19 28
Simvastatin Simvastatin 108 8,002 $1,012.74 26
Pravastatin Sodium Pravastatin Sodium 101 7,710 $1,949.61 25
Famotidine Famotidine 101 7,682 $1,804.51 35
Chlorthalidone Chlorthalidone 98 7,842 $1,911.15 27
Pantoprazole Sodium Pantoprazole Sodium 98 6,345 $1,724.30 25
Potassium Chloride Potassium Chloride 96 5,260 $3,242.80 23
Albuterol Sulfate Hfa Albuterol Sulfate 96 3,829 $3,952.86 29
Fluticasone Propionate Fluticasone Propionate 94 6,135 $2,385.83 36
Escitalopram Oxalate Escitalopram Oxalate 93 6,630 $1,510.66 31
Ibuprofen Ibuprofen 84 3,740 $886.60 23

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AZ 4229

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20080924000377

Enrollment State Jurisdiction

AZ

PECOS Control ID

1254408883

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Bisbee Hospital Association

101 Cole Ave, Bisbee, AZ 856031327

Phone: 5204325383

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Jennifer Chamness , NP

Nurse Practitioner - Family

NPI 1225405202

Nurse Practitioner

Dr. Heidi Lodge , MD

Internal Medicine

NPI 1669426144

Doctor of Medicine (M.D.)

Dr. Edward Miller , DO

Obstetrics & Gynecology

NPI 1003817263

Doctor of Osteopathic Medicine (D.O.)

Dr. Sean Spurr , DO

Internal Medicine

NPI 1104213461

Doctor of Osteopathic Medicine (D.O.)

Dr. Soni Stake , MD

General Practice

NPI 1487844395

Doctor of Medicine (M.D.)

Pearlie Wilson-Natal , FNP

Nurse Practitioner - Family

NPI 1194169102

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location January 07, 2021

Registered at 100 E 5TH ST, DOUGLAS, AZ 856072859 (Tel: 5203647659)

âś…
NPI Profile Active June 12, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 12, 2013

Registered at 1100 F. AVENUE, DOUGLAS, AZ 85607 (Tel: 5203641429)

📍
Business Mailing Address (Initial Record) June 12, 2013

Registered at 1205 F. AVENUE, DOUGLAS, AZ 85607 (Tel: 5203641429)

👤
Provider Name / Credentials (Initial Record) June 12, 2013

Recorded as CARLOS PENA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2013

Physician Assistant (license number reported to NPPES: AZ 4229)

🟢
Initial NPI Registration & Enumeration September 03, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447408570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2008
Last Update: April 07, 2021
Sole Proprietor: No

Mailing Address

1205 F. Avenue

Douglas, AZ 85607

Phone: 5203641429

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.