What is Edwin Pena's specialty?

Edwin Pena (NPI 1942281811) is a Medicare-billing provider whose primary specialty is Hospitalist in Charlotte, NC.

Where does Edwin Pena practice?

Edwin Pena practices in Charlotte, NC, based on the location reported in the CMS Medicare provider datasets for NPI 1942281811.

How much does Medicare pay Edwin Pena?

Edwin Pena (NPI 1942281811) received approximately $52K in total Medicare Part B payments, serving 171 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1942281811

Edwin PenaMD

PRACTICEMERCY HOSPITAL, INCSee all providers at this practice →

HospitalistCharlotte, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

289

Unique beneficiaries

—

Total services

637

Distinct HCPCS

Medicare payment

$50K

Peer benchmark

Total Medicare services vs. 925 Hospitalist providers in NC — above median (cohort median 486).

PRESCRIBING · PART D · 2024

Total Rx claims

125

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Amlodipine Besylate22 claims

Furosemide19 claims

Prednisone18 claims

Gabapentin15 claims

Metoprolol Succinate15 claims

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

81.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Edwin Pena's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 32 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CAROLINAS MEDICAL CENTER	268	967
Mecklenburg Emergency Medical Services Agency Ambulance Service Provider · Charlotte, NC	95	491
Dominique Falewee Cardiology · Charlotte, NC	63	469
Frank Valeri Cardiology · Charlotte, NC	62	561
CAROLINAS MEDICAL CENTER	53	217
Varsha Patel Hospice and Palliative Care · Canton, GA	34	136
WOOD, PAULA	28	116
Christopher Bewley Emergency Medicine · Charlotte, NC	25	99
VERVILLE, THOMAS	25	367
Sima Mehta Internal Medicine · Charlotte, NC	24	141
STOUT, RYAN	22	82
Aamer Qureshi Cardiology · Charlotte, NC	21	59

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events