DR. OCTAVIO A DE LA PENA (M.D.) – Gastroenterology Physician, NPI 1780643692
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. OCTAVIO A DE LA PENA (M.D.)
Renaissance Dallas Hotel, 2222, North Stemmons Freeway, Dallas, TX, Dallas, Dallas County, Texas, 75207, United States
SUITE 500
DALLAS, TX 752474231
Phone: (214) 689-5960
Fax: (214) 630-7293
Type: Mailing
4401, Coit Road, Frisco, Collin County, Texas, 75035, United States
SITE 201
FRISCO, TX 750350500
Phone: (972) 335-7306
Fax: (972) 335-7468
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Novo Nordisk Inc ($110).
Total Amount
$110
General + Research + Ownership
Payments
3
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $110 |
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: 2010-10-18
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 |
|---|---|---|---|---|
| I20101018000632 | I | Gastroenterology | TX | 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 75247)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TX | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 12 | 12 |
| GASTROENTEROLOGY | TX | 45378 | Diagnostic examination of large bowel using an endoscope | 29 | 29 |
| GASTROENTEROLOGY | TX | 45385 | Removal of polyps or growths of large bowel using an endoscope | 38 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| Gastroenterology, Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Gastroenterology, Internal Medicine | TX | |
| - | TX | |
| - | TX |
Reviews
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