Carlos Penaherrera, M.D.
NPI 1861838823 · Emergency Medicine Physician · North Bay Village, FL
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Penaherrera, M.D. is a Emergency Medicine Physician provider in North Bay Village, FL (NPI 1861838823).
Provider details
- NPI number
- 1861838823
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME127967 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
130 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 75 | $132 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 29 | $191 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 26 | $77 |
Typical Medicare-allowed amounts for these services range $77–$191 (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 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 49 | 49 |
| Azithromycin | 43 | 43 |
| Ibuprofen | 28 | 28 |
| Cephalexin | 23 | 23 |
| Diclofenac Sodium | 20 | 20 |
| Meloxicam | 18 | 18 |
| Tizanidine Hcl | 18 | 18 |
| Tramadol Hcl | 15 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$185 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-17
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Carlos Penaherrera's NPI number?
- Carlos Penaherrera's National Provider Identifier (NPI) is 1861838823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Penaherrera's specialty?
- Carlos Penaherrera is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Penaherrera located?
- Carlos Penaherrera's practice location on file with NPPES is 7900 Harbor Island Dr # A1202, North Bay Village, FL 33141-4281.
- What is Carlos Penaherrera's phone number?
- The practice phone number listed in the NPPES registry for Carlos Penaherrera is (908) 307-7639.
- Does Carlos Penaherrera accept Medicare?
- Carlos Penaherrera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Penaherrera's NPI active?
- Yes — Carlos Penaherrera's NPI (1861838823) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.