2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1659307486 MD
Verify on CMS →

RAFAEL PENA, MD

Clinical Cardiac Electrophysiology Physician in LAKE MARY, Florida. 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
497
Medicare Part D claims · 189 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.0K
33 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAFAEL PENA, MD filed 497 Medicare Part D claims in 2023 as a Clinical Cardiac Electrophysiology Physician in LAKE MARY, Florida, prescribing 86% generic.

497
Part D claims, 2023
86%
generic prescribing
Likely
board-certified (heuristic)

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.

RAFAEL PENA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

497 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

RAFAEL PENA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about RAFAEL PENA, MD?

Quality data not reported

NPI registry status

Active

Issued 06/23/2006

NPI 1659307486

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

497 69% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

Specialty distribution in Florida

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Florida providers

Florida providers

Clinical Cardiac Electrophysiology Physician share within Florida

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Clinical Cardiac Electrophysiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Clinical Cardiac Electrophysiology Physician ABMS/AOA estimate

Est. board-certified rate (Clinical Cardiac Electrophysiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Clinical Cardiac Electrophysiology Physician) — 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).

RAFAEL PENA, MD appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding MD credentials at 1331 S INTERNATIONAL PKWY STE 1261, LAKE MARY, FL, 32746, with a listed phone of (407) 444-4848. NPI 1659307486 was issued on 06/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENA 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 497 prescription claims written by this provider, covering 189 Medicare beneficiaries and totaling roughly $76K in drug spend, split 14% brand-name and 86% generic by claim count. 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.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

1331 S INTERNATIONAL PKWY STE 1261
LAKE MARY, FL 32746

Provider Details

NPI 1659307486
Specialty Clinical Cardiac Electrophysiology Physician
Credentials MD
Gender Male
NPI Issued 06/23/2006

Hospital and facility affiliations

Facilities where RAFAEL PENA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HALIFAX HEALTHCARE SYSTEMS INC
DAYTONA BCH, FL
LEWIS AND KLANCKE CARDIOLOGY PA
PORT ORANGE, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 RAFAEL PENA, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.0K

Largest payer

Medtronic, 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to RAFAEL PENA, MD. To verify RAFAEL PENA, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAFAEL PENA, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 497 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.

497
Total Claims
$76K
Total Drug Cost
189
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
775
Total Day Supply
21,130
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$66K
Generic Drug Cost
$10K
Antibiotic Claims
65

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
2.44
Gender Split
42% female / 58% male
Age Distribution
<65: 11, 65-74: 71, 75-84: 80, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

What RAFAEL PENA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clopidogrel
Clopidogrel Bisulfate
75
Amiodarone Hcl
59
Minocycline Hcl
59
Sotalol
Sotalol Hcl
57
Eliquis
Apixaban
49
Sucralfate
38
Pantoprazole Sodium
29
Metoprolol Succinate
21
Xarelto
Rivaroxaban
11

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

Clinical Cardiac Electrophysiology Physician Overview

How RAFAEL PENA, MD fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

RAFAEL PENA, MD's 497 claims are below the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Florida

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL PENA, MD's specialty?
RAFAEL PENA, MD specializes in Clinical Cardiac Electrophysiology Physician and practices in LAKE MARY, Florida. Credentials: MD.
How much does RAFAEL PENA, MD prescribe under Medicare Part D?
In 2023, RAFAEL PENA, MD wrote 497 Medicare Part D claims totaling $76K in drug costs for 189 beneficiaries.
Where is RAFAEL PENA, MD located?
RAFAEL PENA, MD is located at 1331 S INTERNATIONAL PKWY STE 1261, LAKE MARY, FL, 32746. Phone: (407) 444-4848.
What is RAFAEL PENA, MD's NPI number?
RAFAEL PENA, MD's National Provider Identifier (NPI) is 1659307486, issued on 06/23/2006.
Does RAFAEL PENA, MD prescribe more brand-name or generic drugs?
RAFAEL PENA, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $66K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does RAFAEL PENA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL PENA, MD's most frequently prescribed drugs include Clopidogrel, Amiodarone Hcl, Minocycline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL PENA, MD accept Medicare?
RAFAEL PENA, MD appears in CMS Medicare data with 497 Part D claims and 189 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL PENA, MD's credentials?
RAFAEL PENA, MD's NPI is 1659307486 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