Dr. Jose Pena , MD
General Practice • Miami, FL
10 Nw 42nd Ave, Ste#300
Miami, FL 331265473
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on August 20, 2006; this date does not establish years in practice.
-
Published CMS data list 207 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 149 service units.
- 99214 — Established patient outpatient office visit: 24 service units.
- 99212 — Established patient outpatient office visit: 21 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 1,325 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Amlodipine Besylate — 111 prescription fills, including refills.
- Metformin Hcl — 94 prescription fills, including refills.
- Atorvastatin Calcium — 81 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 49 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 65% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: 119. Middle half: 63 to 335.
Close to the middle for Medicare Part B services among clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 479 in 2020 to 207 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
10 Nw 42nd Ave
Ste#300
Miami, FL 331265473
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Private Medical Center Inc. 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
1984
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
38 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $17,492 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $12,449 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,536 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
$37,467 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $20.80 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
42 years (graduated 1984)
CMS Doctors and Clinicians data list 1984 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2006
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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. 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.
Can order Medicare-covered services
CMS lists Dr. 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Miami and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: 119. Middle half: 63 to 335.
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: $13,208. Middle half: $4,753 to $41,565.
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: $9,830. Middle half: $3,433 to $30,148.
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Miami, FL (2024, 155 clinicians with data). Median for this group: 2,748. Middle half: 534 to 8,097.
Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under General Practice in Miami, FL (2024, 155 clinicians with data). Median for this group: $165,864. Middle half: $21,215 to $482,159.
A lower Part D drug cost than 65% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
285 active clinicians are listed under General Practice with a practice address in Miami, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Miami
9.1% of these 285 clinicians have the CMS telehealth indicator.
42.8% of these 285 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 57% from 479 in 2020 to 207 in 2024.
- 2020: 479
- 2021: 368
- 2022: 275
- 2023: 235
- 2024: 207
-
Medicare-allowed amount
Medicare-allowed amount decreased 45% from $31,924 in 2020 to $17,492 in 2024.
- 2020: $31,924
- 2021: $32,736
- 2022: $23,025
- 2023: $20,652
- 2024: $17,492
-
Paid by Medicare
Paid by Medicare decreased 43% from $21,729 in 2020 to $12,449 in 2024.
- 2020: $21,729
- 2021: $22,544
- 2022: $15,679
- 2023: $14,290
- 2024: $12,449
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 51% from 2,688 in 2020 to 1,325 in 2024.
- 2020: 2,688
- 2021: 2,408
- 2022: 1,976
- 2023: 1,336
- 2024: 1,325
-
30-day fills
30-day fills decreased 37% from 4,016 in 2020 to 2,536 in 2024.
- 2020: 4,016
- 2021: 3,578
- 2022: 3,165
- 2023: 2,541
- 2024: 2,536
-
Part D drug cost
Part D drug cost decreased 59% from $91,472 in 2020 to $37,467 in 2024.
- 2020: $91,472
- 2021: $93,119
- 2022: $69,598
- 2023: $59,300
- 2024: $37,467
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $146.19 in 2019 to $20.80 in 2025.
- 2019: $146.19
- 2024: $22.01
- 2025: $20.80
Sources: CMS Medicare Physician & Other Practitioners (2024), 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
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $20.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $20.80 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
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 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 111 | 6,900 | $361.38 | 29 |
| Metformin Hcl | Metformin Hcl | 94 | 5,760 | $281.80 | 26 |
| Atorvastatin Calcium | Atorvastatin Calcium | 81 | 5,100 | $329.72 | 31 |
| Losartan Potassium | Losartan Potassium | 64 | 3,030 | $227.59 | 12 |
| Famotidine | Famotidine | 56 | 2,790 | $518.36 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 51 | 2,310 | $338.46 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 42 | 2,760 | $310.84 | 11 |
| Gabapentin | Gabapentin | 40 | 2,565 | $483.68 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 38 | 2,410 | $550.71 | 12 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 37 | 2,910 | $242.60 | — |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 36 | 1,830 | $187.36 | 12 |
| Lisinopril | Lisinopril | 32 | 2,760 | $184.77 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 31 | 673 | $557.37 | 19 |
| Omeprazole | Omeprazole | 31 | 2,300 | $380.68 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 31 | 2,010 | $180.10 | — |
| Glipizide | Glipizide | 30 | 2,160 | $85.82 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 26 | 2,100 | $72.92 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 25 | 1,530 | $43.18 | — |
| Azithromycin | Azithromycin | 24 | 105 | $105.40 | 18 |
| Metoprolol Tartrate | Metoprolol Tartrate | 21 | 1,845 | $100.07 | — |
| Chlorthalidone | Chlorthalidone | 21 | 1,380 | $250.94 | — |
| Clopidogrel | Clopidogrel Bisulfate | 21 | 1,890 | $280.11 | — |
| Pioglitazone Hcl | Pioglitazone Hcl | 21 | 1,470 | $194.70 | — |
| Pentoxifylline | Pentoxifylline | 21 | 1,290 | $222.07 | — |
| Carvedilol | Carvedilol | 19 | 1,290 | $60.36 | — |
(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
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20040405001454
FL
5092708164
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
Private Medical Center Inc
1800 Sw 27th Ave, Miami, FL 331452400
Phone: 3057940742
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
General Practice
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated August 20, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other General Practices in Miami
- Dr. Belkis Ramirez Gonzalez, MD
- Dr. Mauricio Vargas, MD
- Dr. Rogelio Iglesias, MD
- Dr. Armando Rivero, MD
- Lazaro Diaz Iglesias
- Dr. Maria Hache, MD
Mailing Address
10 Nw 42nd Ave, Ste#300
Miami, FL 331265473
Phone: 3057740742