Carlos Pena, M.D.
Nephrology Physician · Miami, FL
Carlos Pena, M.D. is a nephrology physician with a practice address in Miami, Florida, and NPI 1669435988, issued on Apr 8, 2006. Check the license (Florida ME54800, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Carlos Pena
- Credential
- M.D.
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- ME54800 FL
Self-reported in NPPES; status is on the state search - Practice location
- 16501 NW 2ND Ave, Miami, FL 33169
- Phone
- (305) 354-4558
- Enumerated
- Apr 8, 2006
- Record last updated
- Nov 3, 2022
- Medicaid ID
- 062529900 FL
- Medicare enrollment
- Enrolled (PECOS I20080927000064); accepts Medicare assignment
- Medical or professional school
- University Central Del Caribe Escuela De Medicina, 1982
- Entity
- Type 1 · individual
8 nearest nephrology physician records → All 840 in Florida → Look up another NPI →
Also registered at 16501 NW 2ND Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Cinthya Aviles Riascos, MDNephrology Physician1114595014
- Carl Goldsand, MDNephrology Physician1447245212
- Naman Lal, M.D.Nephrology Physician1275065492
- Jose Nieto, M.D.Nephrology Physician1811950132
- Ann Samuels, ARNPNurse Practitioner1295056729
Verify Carlos Pena in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME54800Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
42% fewer Medicare Part D claims than the average nephrology physician in 2024
845 Medicare Part D claims for 171 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 43% of claims.
Most prescribed
- Farxiga210 claims
- Amlodipine Besylate55 claims
- Jardiance55 claims
- Chlorthalidone45 claims
- Spironolactone44 claims
- Kerendia43 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 89.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,603.82
53 payments; by number, the most common kind was food and beverage; the largest payer was Vifor Pharma, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Florida Kidney Physicians LLCMiami, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carlos Pena among 840 nephrology physician records in Florida
Carlos Pena, M.D. is one of 840 nephrology physician records with a practice address in Florida. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.
- NPI issued2006 · 16% of these records are older, 50% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated1982 · median 2000 among the 664 with a school on file
- Record last updated2022 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in Florida
There are 840 nephrology physician records in Florida.
All 840 in Florida → Every provider in Miami → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Cinthya Aviles Riascos, MDMiami, FL 331691114595014
- Emmanuel Bahamonde, M.D.Miami, FL 331691881011260
- Ileana Farrada, D.O.North Miami Beach, FL 331691164780326
- Cliff Glasser, D.O.North Miami Beach, FL 331691639132897
- Carl Goldsand, MDMiami, FL 331691447245212
- Saul Gonzalez, M.D.North Miami Beach, FL 331691174906861
- Allan Jacob, MDMiami, FL 331691962801282
- Naman Lal, M.D.Miami, FL 331691275065492
Common questions
What is Carlos Pena, M.D.'s NPI number?
Carlos Pena, M.D.'s National Provider Identifier (NPI) is 1669435988, issued on Apr 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Carlos Pena, M.D. located?
The NPPES record lists a practice address at 16501 NW 2ND Ave, Miami, FL, 33169. Phone: (305) 354-4558. Providers update this record themselves, so call before visiting.
How can I verify Carlos Pena, M.D.'s license?
NPPES lists Florida license number ME54800, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carlos Pena, M.D. prescribe under Medicare Part D?
In 2024, Carlos Pena, M.D. had 845 Medicare Part D claims for 171 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Carlos Pena, M.D.'s MIPS final score?
The 2023 MIPS final score is 89.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.