HENRY PENG (MD) – Family Medicine Physician, NPI 1144378167
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
700 SPORTS MEDICINE in CA
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Provider Addresses for HENRY PENG (MD)
624, Duarte Road, West Arcadia, Arcadia, Los Angeles County, California, 91007, United States
SUITE 102
ARCADIA, CA 910077603
Phone: (626) 254-9540
Fax: (626) 294-2996
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070822000650 | I | Family Practice | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 62 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 50 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | 46 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 91007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Sleep Medicine | WA | |
| Family Practice | CA | |
| Internal Medicine | CA |
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