Raul Adrian Pena, MD
Ophthalmology Physician · McAllen, TX
Raul Adrian Pena, MD is an ophthalmology physician with a practice address in McAllen, Texas, and NPI 1164456943, issued on Jul 10, 2006. Check the license (Texas L0504, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Raul Adrian Pena
- Credential
- MD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- L0504 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1400 E Ridge RD Ste 10, McAllen, TX 78503
- Phone
- (956) 661-8733
- Enumerated
- Jul 10, 2006
- Record last updated
- May 5, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (956) 661-8724
- Medicare enrollment
- Enrolled (PECOS I20041221000207); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 1,514 in Texas → Look up another NPI →
Also registered at 1400 E Ridge RD Ste 10
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Armando Reyes, O.D.Optometrist1235275017
- Aurelio Tijerina, O.D.Optometrist1972230456
Verify Raul Adrian Pena in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license L0504Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.6 times the Medicare Part D claims of the average ophthalmology physician in 2024
3,892 Medicare Part D claims for 1,246 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 38% of claims.
Most prescribed
- Latanoprost1,210 claims
- Prednisolone Acetate882 claims
- Diclofenac Sodium516 claims
- Ofloxacin448 claims
- Erythromycin250 claims
- Dorzolamide-Timolol104 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 practice group's MIPS final score for 2023 (Medicare payment program): 88.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $564.02
14 payments; by number, the most common kind was food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 13,221 providers of this specialty with any payment received $4,535.02 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
- Raul Adrian Pena MD PAMcAllen, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Raul Adrian Pena among 1,514 ophthalmology physician records in Texas
Raul Adrian Pena, MD is one of 1,514 ophthalmology physician records with a practice address in Texas. 81% 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 22% of them.
- NPI issued2006 · 22% of these records are older, 48% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated1988 · median 2003 among the 1,052 with a school on file
- Record last updated2020 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Texas
There are 1,514 ophthalmology physician records in Texas.
All 1,514 in Texas → Every provider in McAllen → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Juan Arciniega, M.D.McAllen, TX 785031508153115
- Roberto Arguello, M.D.McAllen, TX 785031538130521
- Shanna Brown, M.D.McAllen, TX 785031467613513
- Roberto Diaz-Rohena, MDMcAllen, TX 785031972584407
- Alireza Ghaffarieh, MDMcAllen, TX 785031437539533
- Victor Gonzalez, MDMcAllen, TX 785031871599100
- Errol Grannum, MDMcAllen, TX 785031508897935
- Chevy Lee, M.D.McAllen, TX 785031861460651
Common questions
What is Raul Adrian Pena, MD's NPI number?
Raul Adrian Pena, MD's National Provider Identifier (NPI) is 1164456943, issued on Jul 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Raul Adrian Pena, MD located?
The NPPES record lists a practice address at 1400 E Ridge RD Ste 10, McAllen, TX, 78503. Phone: (956) 661-8733. Providers update this record themselves, so call before visiting.
How can I verify Raul Adrian Pena, MD's license?
NPPES lists Texas license number L0504, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Raul Adrian Pena, MD prescribe under Medicare Part D?
In 2024, Raul Adrian Pena, MD had 3,892 Medicare Part D claims for 1,246 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Raul Adrian Pena, MD's MIPS final score?
The 2023 MIPS final score is 88.3 of 100, reported for the practice group. 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.