CARLOS ANDRES PENAHERRERA OVIEDO (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1093268138
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for CARLOS ANDRES PENAHERRERA OVIEDO (M.D.)
1200 Memorial Dr
Dalton, GA 307202529
Phone: (706) 272-6000
Type: Location
Morristown Medical Center, 100, Madison Avenue, Morristown, Morris County, New Jersey, 07960, United States
MORRISTOWN, NJ 079606136
Phone:
Type: Mailing
PO BOX 1168
DALTON, GA 307221168
Phone:
Type: Mailing
475 REED RD STE 104
DALTON, GA 307206310
Phone: (706) 226-1622
Fax: (706) 272-6445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $1,971.
Total Amount is formed as General ($1,971) + Research ($0) + Ownership ($0) = $1,971.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($318).
Total Amount
$1,971
General + Research + Ownership
Payments
106
Total payment records
General Amount
$1,971
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $318 |
| Lilly USA, LLC | $314 |
| SANOFI-AVENTIS U.S. LLC | $217 |
| Tandem Diabetes Care, Inc. | $182 |
| Medtronic, Inc. | $137 |
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: 2021-06-21
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 |
|---|---|---|---|---|
| I20210621001133 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 343 | 189 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 257 | 129 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 158 | 120 | $0 |
| 83036 | Hemoglobin a1c level | 152 | 112 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 101 | 55 | $0 |
Insurance plans in this area (ZIP 30720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care, Hospitalist | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Orthopedic Surgery | TN | |
| Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Medical Oncology | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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