DR. ADAM PAUL PENA (MD) – Urology Physician, NPI 1447875224
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
543 UROLOGY in IL
Provider Addresses for DR. ADAM PAUL PENA (MD)
1120 N MELVIN ST
GIBSON CITY, IL 609361477
Phone: (217) 784-2212
Fax: (217) 784-2572
Type: Location
1516 SAN PABLO ST
LOS ANGELES, CA 900335313
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $650.
Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Innovation Technologies Inc ($280).
Total Amount
$650
General + Research + Ownership
Payments
5
Total payment records
General Amount
$650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $280 |
| Boston Scientific Corporation | $274 |
| Progenics Pharmaceuticals, Inc. | $95 |
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: 2025-10-02
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 |
|---|---|---|---|---|
| I20251002001163 | I | Urology | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60936)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Emergency Medicine | MN | |
| - | IL | |
| - | IL | |
| - | LA | |
| General Surgery | IL |
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