JULIO ERNESTO PENA (M.D.) – Nephrology Physician, NPI 1073891198
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
431 NEPHROLOGY in GA
Provider Addresses for JULIO ERNESTO PENA (M.D.)
1360 CADUCEUS WAY
BLDG 400, SUITE 104
WATKINSVILLE, GA 306777300
Phone: (706) 850-8135
Fax: (706) 548-9101
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 26 Open Payments records for all available years, with a total value of $349.
Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($113).
Total Amount
$349
General + Research + Ownership
Payments
26
Total payment records
General Amount
$349
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $113 |
| Amgen Inc. | $38 |
| AKEBIA THERAPEUTICS INC | $25 |
| GENZYME CORPORATION | $22 |
| Fresenius USA Marketing, Inc. | $21 |
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: 2016-07-26
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 |
|---|---|---|---|---|
| I20160726002622 | I | Nephrology | GA | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 634 | 163 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 422 | 262 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 358 | 285 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 330 | 147 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 123 | 97 | $0 |
Insurance plans in this area (ZIP 30677)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | GA | |
| Internal Medicine, Neurology | GA |
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