DR. HAI EN PENG (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1033305677

DR. HAI EN PENG (DPM) is a healthcare provider. based in Camarillo, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E4368 (CA). The NPI Number for DR. HAI EN PENG (DPM) is 1033305677

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAI EN PENG (DPM)
NPI
1033305677
Phone
(805) 482-0711
Address
2460 N PONDEROSA DR
Enumeration Date
18 September 2007
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8054820711
Graduation Year
2000 (26 years ago)
PAC ID
1557263225
Professional Enrollment ID
I20040122001154
Address ID
CA930102375CA2460XDRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

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Provider Addresses for DR. HAI EN PENG (DPM)

  • 2460, North Ponderosa Drive, Camarillo, Ventura County, California, 93010, United States

    STE A105

    CAMARILLO, CA 930102375

    Phone: (805) 482-0711

    Fax: (805) 482-6524

    Type: Location

  • 14 E Arrellaga St

    Santa Barbara, CA 931012502

    Phone: (805) 965-1515

    Fax: (805) 482-6524

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $24,918.

Total Amount is formed as General ($24,918) + Research ($0) + Ownership ($0) = $24,918.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Paragon 28, Inc. ($22,177).

Total Amount

$24,918

General + Research + Ownership

Payments

54

Total payment records

General Amount

$24,918

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040122001154IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails1,297407$0
11056Removal of noncancer thickened skin growth, 2-4 growths1,086348$0
99213Established patient office or other outpatient visit, 20-29 minutes303205$0
11057Removal of noncancer thickened skin growth, more than 4 growths295110$0
99214Established patient office or other outpatient visit, 30-39 minutes222154$0
View full utilization report →

Insurance plans in this area (ZIP 93010)

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Provider's Procedures

DR. HAI EN PENG (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCA73630X-ray of foot, minimum of 3 views7239

Reviews

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Frequently asked questions

How do payers reference DR. HAI EN PENG (DPM)?
For DR. HAI EN PENG (DPM), use NPI 1033305677 as the unique 10-digit identifier.
Is there an active status for DR. HAI EN PENG (DPM)?
For scheduling context, DR. HAI EN PENG (DPM) is shown as active in the registry.
What kind of doctor is DR. HAI EN PENG (DPM)?
DR. HAI EN PENG (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. HAI EN PENG (DPM)?
Travel planning: use Camarillo, California as the reference point for DR. HAI EN PENG (DPM), then confirm.
Does DR. HAI EN PENG (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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