Medicare Enrolled

Dr. David Pena, PA-C

Medical Physician Assistant · Fresno, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2740 S ELM AVE, Fresno, CA 93706
5594575200
In practice since 2010 (15 years)
NPI: 1972807345 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Pena from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Pena

Dr. David Pena is a medical physician assistant in Fresno, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Pena performed 630 Medicare services across 425 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pena received a total of $13,068 from 49 pharmaceutical and/or device companies across 356 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pena is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 15 years in practice ▲ Top 25% volume in CA $13,068 industry payments

Medicare Practice Summary

Medicare Utilization ↗
630
Medicare services
Top 25% in CA for medical physician assistant
425
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~42 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
393 $77 $298
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
78 $45 $209
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
44 $92 $357
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
33 $115 $298
Annual depression screening 21 $17 $42
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
20 $27 $103
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
17 $75 $178
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
13 $10 $44
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
11 $145 $533
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$13,068
Total received (2021-2024)
Avg $3,267/year across 4 years
Top 3% in CA for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
356
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,068 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,219
2023
$4,662
2022
$2,525
2021
$661

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$711
AstraZeneca Pharmaceuticals LP
$539
Novo Nordisk Inc
$437
GlaxoSmithKline, LLC.
$416
ABBVIE INC.
$382
Vanda Pharmaceuticals Inc.
$365
Phathom Pharmaceuticals, Inc.
$286
Amgen Inc.
$187
Esperion Therapeutics, Inc.
$187
Dynavax Technologies Corporation
$169
Otsuka America Pharmaceutical, Inc.
$167
Dexcom, Inc.
$163
AIMMUNE THERAPEUTICS, INC.
$160
Neurocrine Biosciences, Inc.
$138
Organogenesis Inc.
$125
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$125
Madrigal Pharmaceuticals
$124
Saluda Medical Americas, Inc.
$101
Corcept Therapeutics
$80
Antares Pharma, Inc.
$74
PFIZER INC.
$57
Exact Sciences Corporation
$44
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Otsuka Pharmaceutical Development & Commercialization, Inc.
$23
Abbott Laboratories
$23
Novartis Pharmaceuticals Corporation
$20
ABIOMED
$18
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Tactile Systems Technology Inc
$18
Lundbeck LLC
$17
Bayer Healthcare Pharmaceuticals Inc.
$17
Top 3 companies account for 32.3% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$1,445
AstraZeneca Pharmaceuticals LP
$1,352
Lilly USA, LLC
$1,267
Novo Nordisk Inc
$1,074
GlaxoSmithKline, LLC.
$912
Amgen Inc.
$755
Boehringer Ingelheim Pharmaceuticals, Inc.
$551
Esperion Therapeutics, Inc.
$367
Vanda Pharmaceuticals Inc.
$365
Otsuka America Pharmaceutical, Inc.
$350
Biohaven Pharmaceuticals, Inc.
$344
Bayer Healthcare Pharmaceuticals Inc.
$323
Phathom Pharmaceuticals, Inc.
$286
Antares Pharma, Inc.
$248
Dynavax Technologies Corporation
$242
Abbott Laboratories
$222
Bayer HealthCare Pharmaceuticals Inc.
$212
Daiichi Sankyo Inc.
$169
Dexcom, Inc.
$163
Novartis Pharmaceuticals Corporation
$161
AIMMUNE THERAPEUTICS, INC.
$160
SK Life Science, Inc.
$158
Neurocrine Biosciences, Inc.
$138
Organogenesis Inc.
$125
ITI, Inc.
$125
AbbVie Inc.
$125
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$125
Kowa Pharmaceuticals America, Inc.
$124
Madrigal Pharmaceuticals
$124
INTERCEPT PHARMACEUTICALS, INC.
$116
Saluda Medical Americas, Inc.
$101
Neurelis, Inc.
$95
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
Biohaven Pharmaceutical Holding Company Ltd.
$85
Corcept Therapeutics
$80
Coloplast Corp
$77
PFIZER INC.
$72
Exact Sciences Corporation
$65
Takeda Pharmaceuticals U.S.A., Inc.
$51
IDORSIA PHARMACEUTICALS US INC
$49
Lundbeck LLC
$36
Otsuka Pharmaceutical Development & Commercialization, Inc.
$23
Teva Pharmaceuticals USA, Inc.
$19
Nevro Corp.
$19
ABIOMED
$18
Tactile Systems Technology Inc
$18
Supernus Pharmaceuticals, Inc.
$18
NESTLE HEALTHCARE NUTRITION INC.
$16
Mylan Specialty L.P.
$12
Top 3 companies account for 31.1% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Aimovig · AirDuo Digihaler · Altis · BREZTRI · CAPLYTA · CREON · Cologuard Collection Kit · DEXCOM G7 GSS (161) · Dexcom G6 Transmitter · ENTRESTO · EVENITY · Evoke · FANAPT · FARXIGA · FASENRA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Flexitouch Plus · Heplisav-B · INGREZZA · INJECTAFER · Impella · JARDIANCE · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · Livalo · MOUNJARO · NEXLETOL · NEXLIZET · NOCDURNA · NURTEC ODT · OCALIVA · OFEV · Omnia · Otezla · Ozempic · PAXLOVID · PURAPLY WOUND MATRIX · Prolia · QULIPTA · QUVIVIQ · REXULTI · REZDIFFRA · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Seglentis · TLANDO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VALTOCO · VIBERZI · VOQUEZNA · VRAYLAR · Wegovy · XCOPRI · XIFAXAN · XYOSTED · Yupelri · ZENPEP · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for medical physician assistant in CA.

Looking for a medical physician assistant in Fresno?
Compare medical physician assistants in the Fresno area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Medical physician assistants within 10 mi
79
Per 100K population
7.8
County median income
$71,434
Nearest hospital
COMMUNITY REGIONAL MEDICAL CENTER
9.2 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Pena is a clinical cardiology specialist, with above-average Medicare volume (top 25% in CA), with low-engagement industry engagement in the top 3% of CA peers, with 15 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Pena experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pena performed 393 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Pena receive payments from pharmaceutical companies?
Yes. Dr. Pena received a total of $13,068 from 49 companies across 356 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Pena's costs compare to other medical physician assistants in Fresno?
Dr. Pena's average Medicare payment per service is $72. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Pena) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →