DR. CARLOS ALBERTO PENAHERRERA (M.D.) – Emergency Medicine Physician, NPI 1861838823
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
Provider Addresses for DR. CARLOS ALBERTO PENAHERRERA (M.D.)
145 SW 13TH ST
APT 626
MIAMI, FL 331304226
Phone: (908) 307-7639
Type: Mailing
7900 HARBOR ISLAND DR # A1202
NORTH BAY VILLAGE, FL 331414281
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $348.
Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).
Total Amount
$348
General + Research + Ownership
Payments
10
Total payment records
General Amount
$348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-08-02
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 |
|---|---|---|---|---|
| I20160802000074 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 82 | 81 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 37 | 36 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 27 | 27 | $0 |
Insurance plans in this area (ZIP 33130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | PA | |
| Emergency Medicine | PR | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL |
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