2026 NPPES data Family Nurse Practitioner NPI 1023759164 APRN
Verify on CMS →

Marco Pena, APRN

Family Nurse Practitioner in Elsa, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
315
Medicare Part D claims · 143 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
81.4/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$163.58
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Marco Pena, APRN reported a CMS MIPS final score of 81.4/100 - below the 83.5 national average - and filed 315 Medicare Part D claims in 2024.

81.4/100
MIPS score · -2 vs avg
315
Part D claims, 2024
$163.58
industry payments (Sunshine Act)
≥32nd
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Marco Pena, APRN

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1023759164), first enumerated 04/05/2022.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 315 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $163.58 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Marco Pena, APRN's individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1023759164 · Family Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1023759164
  • ENUM-RECENT 2022
  • TAX-MEGA 217K Family Nurse
  • MIPS-INLINE 81.4/100
  • RX-LIGHT 315
  • BOOK-MID 19,347 in Texas
  • PHOTO-FINISH Jessica Burke · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Marco Pena, APRN's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Marco Pena, APRN sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Marco Pena, APRN writes more Part D claims than 44% of them and scores higher on MIPS quality than 33% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Marco Pena, APRN, Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 33
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Marco Pena, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Marco Pena, APRN?

Near national average

NPI registry status

Active

Issued 04/05/2022

NPI 1023759164

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

315 76% vs specialty avg

2024 prescription claims

Specialty avg: 1,302

MIPS final score

81.4/100 2.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Marco Pena, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
81.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.4%
MIPS final score (Family Nurse Practitioner) - 81.4/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

607 W CIRO CASARES ST
Elsa, TX 78543

Provider Details

NPI 1023759164
Specialty Family Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 04/05/2022

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.4423
Final Score
Measured-score avg: 83.5
65.8349
Quality
49.2365
Cost
98
Promoting Interoperability

Reporting: Group practice

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Marco Pena, APRN. Source: openpaymentsdata.cms.gov.

Total received

$164

Largest payer

Optinose US, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Marco Pena, APRN. To verify Marco Pena, APRN's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

315
Total Claims
$4K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
323.1
Total Day Supply
8,928
Brand Drug Cost
$0
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.42
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Marco Pena, APRN prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Naproxen
165
Diclofenac Sodium
83
Ibuprofen
61

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

Family Nurse Practitioner Overview

How Marco Pena, APRN fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Marco Pena, APRN's 315 claims are below the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Pena, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.4 here).

Same NPPES enumeration year (2022)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Nurse Practitioner Providers in Texas

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

One of 19,347 Family Nurse Practitioner providers enrolled in Texas, 5 are shown here.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Marco Pena, APRN's specialty?
Marco Pena, APRN specializes in Family Nurse Practitioner and practices in Elsa, Texas. Credentials: APRN.
How much does Marco Pena, APRN prescribe under Medicare Part D?
In 2024, Marco Pena, APRN wrote 315 Medicare Part D claims totaling $4K in drug costs for 143 beneficiaries.
What is Marco Pena, APRN's Medicare quality score?
Marco Pena, APRN has a CMS MIPS Final Score of 81.4/100 (Quality: 65.8, Cost: 49.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marco Pena, APRN located?
Marco Pena, APRN is located at 607 W CIRO CASARES ST, Elsa, TX, 78543. Phone: (956) 650-9246.
What is Marco Pena, APRN's NPI number?
Marco Pena, APRN's National Provider Identifier (NPI) is 1023759164, issued on 04/05/2022.
How many Family Nurse Practitioner providers are there in the US?
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Marco Pena, APRN prescribe most often?
Based on 2024 Medicare Part D data, Marco Pena, APRN's most frequently prescribed drugs include Naproxen, Diclofenac Sodium, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marco Pena, APRN accept Medicare?
Marco Pena, APRN appears in CMS Medicare data with 315 Part D claims and 143 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marco Pena, APRN's credentials?
Marco Pena, APRN's NPI is 1023759164 with credentials APRN. 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

View source datasets and methodology notes
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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.