2026 NPPES data Legal Medicine NPI 1164420295 MD
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JUAN PENHOS, MD

Legal Medicine in SANDUSKY, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 180 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JUAN PENHOS, MD is a Legal Medicine ([object Object]) practicing in SANDUSKY, Ohio with a Medicare Part D prescribing footprint of 5K claims across 180 beneficiaries — 12% brand-name prescribing .

What stands out: JUAN PENHOS, MD filed 4,717 Medicare Part D claims in 2023 across SANDUSKY, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JUAN PENHOS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/12/2005

NPI 1164420295

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

4,717 67% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

Specialty distribution in Ohio

How Legal Medicine compares to other specialties among Ohio providers

Ohio providers

Legal Medicine share within Ohio

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Legal Medicine (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Legal Medicine ABMS/AOA estimate

Est. board-certified rate (Legal Medicine) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Legal Medicine) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JUAN PENHOS, MD is a Legal Medicine provider practicing in SANDUSKY, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164420295. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JUAN PENHOS, MD appears in the CMS NPPES registry as a Legal Medicine provider holding MD credentials at 3703 COLUMBUS AVE, SANDUSKY, OH, 44870, with a listed phone of (419) 625-8085. NPI 1164420295 was issued on 07/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENHOS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,717 prescription claims written by this provider, covering 180 Medicare beneficiaries and totaling roughly $508K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3703 COLUMBUS AVE
SANDUSKY, OH 44870

Provider Details

NPI 1164420295
Specialty Legal Medicine
Credentials MD
Gender Male
NPI Issued 07/12/2005

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to JUAN PENHOS, MD. To verify JUAN PENHOS, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JUAN PENHOS, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,717 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,717
Total Claims
$508K
Total Drug Cost
180
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,093
Total Day Supply
229,570
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$394K
Generic Drug Cost
$112K
Opioid Claims
182 (3.9% rate)
Antibiotic Claims
227

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
0.94
Gender Split
70% female / 30% male
Age Distribution
<65: 53, 65-74: 80, 75-84: 32, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
380
Omeprazole
187
Metformin Hcl Er
Metformin Hcl
158
Montelukast Sodium
155
Fluconazole
142
Metformin Hcl
119
Rosuvastatin Calcium
112
Methylprednisolone
109
Lisinopril
106
Simvastatin
106

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Legal Medicine Overview

How JUAN PENHOS, MD fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

JUAN PENHOS, MD's 4,717 claims are above the specialty average of 2,821.

Nearby Legal Medicine Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as PENHOS.

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUAN PENHOS, MD's specialty?
JUAN PENHOS, MD specializes in Legal Medicine and practices in SANDUSKY, Ohio. Credentials: MD.
How much does JUAN PENHOS, MD prescribe under Medicare Part D?
In 2023, JUAN PENHOS, MD wrote 4,717 Medicare Part D claims totaling $508K in drug costs for 180 beneficiaries.
Where is JUAN PENHOS, MD located?
JUAN PENHOS, MD is located at 3703 COLUMBUS AVE, SANDUSKY, OH, 44870. Phone: (419) 625-8085.
What is JUAN PENHOS, MD's NPI number?
JUAN PENHOS, MD's National Provider Identifier (NPI) is 1164420295, issued on 07/12/2005.
Does JUAN PENHOS, MD prescribe more brand-name or generic drugs?
JUAN PENHOS, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $394K in brand drug costs.
Does JUAN PENHOS, MD prescribe opioids?
Yes, JUAN PENHOS, MD had 182 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does JUAN PENHOS, MD prescribe most often?
Based on 2023 Medicare Part D data, JUAN PENHOS, MD's most frequently prescribed drugs include Levothyroxine Sodium, Omeprazole, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUAN PENHOS, MD accept Medicare?
JUAN PENHOS, MD appears in CMS Medicare data with 4,717 Part D claims and 180 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUAN PENHOS, MD's credentials?
JUAN PENHOS, MD's NPI is 1164420295 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology