DR. VICTOR MANUEL PENA (M.D.) – Family Medicine Physician, NPI 1609230119

DR. VICTOR MANUEL PENA (M.D.) is a healthcare provider. based in Port charlotte, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME138106 (FL). The NPI Number for DR. VICTOR MANUEL PENA (M.D.) is 1609230119

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. VICTOR MANUEL PENA (M.D.)
NPI
1609230119
Phone
(855) 979-5700
Address
21297 OLEAN BLVD STE A
Enumeration Date
11 April 2016
Last Update Date
9 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417664122
Graduation Year
2015 (11 years ago)
PAC ID
2163784414
Group Practice PAC ID
5092078881
Professional Enrollment ID
I20190715001502
Address ID
FL339525000PO2500XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,754 FAMILY PRACTICE in FL

Provider Addresses for DR. VICTOR MANUEL PENA (M.D.)

  • 21297 OLEAN BLVD STE A

    PORT CHARLOTTE, FL 339526704

    Phone: (855) 979-5700

    Type: Location

  • Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ATRICURE, INC. ($143).

Total Amount

$159

General + Research + Ownership

Payments

2

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2019-07-15

PECOS data refreshed: 2026-06-15

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
I20190715001502IFamily PracticeFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,059359$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes342245$0
99238Hospital discharge day management, 30 minutes or less295273$0
99239Hospital discharge day management, more than 30 minutes106101$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9693$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092078881View full group profile
NameSpecialtyState
H O S P I T A L I S TFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for DR. VICTOR MANUEL PENA (M.D.) in U.S. healthcare records?
The official identifier for DR. VICTOR MANUEL PENA (M.D.) is NPI 1609230119.
Is there an active status for DR. VICTOR MANUEL PENA (M.D.)?
For scheduling context, DR. VICTOR MANUEL PENA (M.D.) is shown as active in the registry.
How would a patient describe DR. VICTOR MANUEL PENA (M.D.)'s focus?
For DR. VICTOR MANUEL PENA (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. VICTOR MANUEL PENA (M.D.)?
Directory geography for DR. VICTOR MANUEL PENA (M.D.) centers on Port Charlotte, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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