LUIS JAVIER PENA-HERNANDEZ (M.D.) – Pulmonary Disease Physician, NPI 1457562159
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,173 PULMONARY DISEASE in FL
Provider Addresses for LUIS JAVIER PENA-HERNANDEZ (M.D.)
5401 S CONGRESS AVE STE 204
ATLANTIS, FL 334626637
Phone: (561) 967-4118
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)
CMS reports 318 Open Payments records for all available years, with a total value of $123,011.
Total Amount is formed as General ($123,011) + Research ($0) + Ownership ($0) = $123,011.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($115,467).
Total Amount
$123,011
General + Research + Ownership
Payments
318
Total payment records
General Amount
$123,011
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $115,467 |
| Intuitive Surgical, Inc. | $3,451 |
| AstraZeneca Pharmaceuticals LP | $809 |
| Inogen, Inc. | $683 |
| Actelion Pharmaceuticals US, Inc. | $321 |
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: 2013-10-28
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 |
|---|---|---|---|---|
| I20131028001216 | I | Pulmonary Disease | FL | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,615 | 346 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 648 | 315 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 545 | 208 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 180 | 171 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 174 | 151 | $0 |
Insurance plans in this area (ZIP 33462)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | FL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 163 | 139 |
| PULMONARY DISEASE | FL | 94727 | Determination of lung volumes using gas dilution or washout | 111 | 111 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Pulmonary Disease | FL | |
| Nurse Practitioner | FL | |
| Pulmonary Disease | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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