Carlos Pena, PA-C
NPI 1245687052 · Physician Assistant · Sacramento, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Pena, PA-C is a Physician Assistant provider in Sacramento, CA (NPI 1245687052).
Provider details
- NPI number
- 1245687052
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA53458 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
298 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 128 | $101 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 111 | $147 |
| Critical Care, First 30-74 Minutes99291 | 59 | $180 |
Typical Medicare-allowed amounts for these services range $101–$180 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 41 | 41 |
| Methylprednisolone | 33 | 32 |
| Ondansetronbrand: Ondansetron Odt | 25 | 25 |
| Prednisone | 19 | 18 |
| Naproxen | 17 | 16 |
| Clindamycin Hcl | 16 | 16 |
| Cefuroxime Axetilbrand: Cefuroxime | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-21
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Frequently asked questions
- What is Carlos Pena's NPI number?
- Carlos Pena's National Provider Identifier (NPI) is 1245687052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Pena's specialty?
- Carlos Pena is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carlos Pena located?
- Carlos Pena's practice location on file with NPPES is 4301 X St, Sacramento, CA 95817-2214.
- What is Carlos Pena's phone number?
- The practice phone number listed in the NPPES registry for Carlos Pena is (916) 734-2011.
- Does Carlos Pena accept Medicare?
- Carlos Pena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Pena's NPI active?
- Yes — Carlos Pena's NPI (1245687052) is active in the NPPES registry as of the last update on 2025-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.