Doctor profile · Federal record
Dr. Raul Pena, MD
Ophthalmology Physician (CMS: Ophthalmology) · McAllen, TX
- NPI 1164456943
- Accepts Medicare
- MIPS 84.8 / 100 · 2023
- 38 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1400 E Ridge RD Ste 10
McAllen, TX 785031536
(956) 661-8733
fax (956) 661-8724
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- May 5, 2020
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- Texas #L0504
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164456943. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
991
Distinct HCPCS
10
Medicare allowed
$195,491
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92012 |
Established patient problem focused exam of visual system | 180 | 153 | $87 | |
66821 |
Removal of recurring cataract in lens capsule using a laser | 163 | 93 | $323 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 148 | 83 | $495 | |
92136 |
Measurement of corneal curvature and depth of eye | 144 | 74 | $42 | |
92014 |
Established patient complete exam of visual system | 74 | 71 | $121 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 66 | 66 | $162 | |
92025 |
Ct scan of cornea | 49 | 49 | $32 | |
92286 |
Imaging of front third of eye using a special microscope | 45 | 43 | $38 | |
67031 |
Release of scar tissue between lens and retina using a laser | 25 | 15 | $376 | |
92134 |
Imaging of retina | 23 | 20 | $38 |
In context: peer comparison
Among 7 peers in McAllen Ophthalmology Physician, average services per provider: 202. This provider delivers 4.9× the peer median.Open Payments
Industry payments received
All-time total
$564
Transactions
14
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas INC. | 2 | $205.83 | |
| Alcon Vision LLC | 3 | $157.37 | |
| Sight Sciences, INC. | 3 | $62.89 | |
| Abbvie INC. | 2 | $56.15 | |
| Tarsus Pharmaceuticals, INC. | 2 | $41.24 | |
| RxSight INC | 2 | $40.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,067
Patients
2,467
Total drug cost
$302,849
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 1,581 | 710 | $29,659 |
| Prednisolone Acetate | Generic | 923 | 764 | $50,034 |
| Diclofenac Sodium | Generic | 452 | 339 | $5,905 |
| Ofloxacin | Generic | 353 | 300 | $6,411 |
| Erythromycin (Erythromycin Base) | Brand | 245 | 145 | $3,131 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 108 | 41 | $2,880 |
| Restasis (Cyclosporine) | Brand | 95 | 40 | $130,740 |
| Brimonidine Tartrate | Generic | 54 | 29 | $5,894 |
| Combigan (Brimonidine Tartrate/Timolol) | Brand | 51 | 19 | $20,676 |
| Lumigan (Bimatoprost) | Brand | 50 | 0 | $22,425 |
Frequently asked questions
What is Dr. Raul Pena's medical specialty?
Dr. Raul Pena practices Ophthalmology Physician in McAllen, TX.
Where does Dr. Raul Pena practice?
Dr. Raul Pena practices at 1400 E Ridge RD Ste 10, McAllen, TX 785031536. Office phone: 9566618733.
What is Dr. Raul Pena's NPI?
Dr. Raul Pena's National Provider Identifier (NPI) is 1164456943, issued by NPPES.
Does Dr. Raul Pena accept Medicare assignment?
Yes. Dr. Raul Pena accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Raul Pena commonly perform?
Top Medicare-reported procedures in 2023: Established patient problem focused exam of visual system (HCPCS 92012); Removal of recurring cataract in lens capsule using a laser (HCPCS 66821); Removal of cataract with insertion of prosthetic lens (HCPCS 66984). Source: CMS Medicare Physician & Other Practitioners file.