# Raul A Pena, MD

Source: https://ourhealthnetwork.com/doctor/raul-pena-md-1164456943
NPI: 1164456943
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Raul A Pena, MD is a ophthalmology based in Mcallen, TX practicing at Raul Adrian Pena Md Pa with NPI 1164456943.

## Profile

- Primary specialty: Ophthalmology
- Secondary specialties: INTERNAL MEDICINE
- Credential: MD
- Gender: Male
- Graduation year: 1988
- NPI: 1164456943 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1164456943))

## Practice and contact

- Practice name: Raul Adrian Pena Md Pa
- Address: 1400 E Ridge Rd, 10 Pena Eye Institute, Mcallen, TX, 785031536
- Phone: (956) 661-8733
- Group practice size: 4 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 88.34/100
- Quality category score: 100.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 49.417/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (11 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [HCSC: BCBS Illinois](https://ourhealthnetwork.com/insurance/hcsc-bcbs-illinois) — 59 plans
- [HCSC: BCBS Texas](https://ourhealthnetwork.com/insurance/hcsc-bcbs-texas) — 33 plans
- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 18 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 11 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 7 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Anthem Vision](https://ourhealthnetwork.com/insurance/anthem-vision) — 1 plan
- [BCBS Massachusetts HMO](https://ourhealthnetwork.com/insurance/bcbs-massachusetts-hmo) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Raul A Pena, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1164456943).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 12 disclosed payments from medical industry sources totaling approximately $523.

Largest disclosed payer: Bausch & Lomb Americas Inc. ($206 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Ophthalmology doctors in MCALLEN, TX](https://ourhealthnetwork.com/ophthalmology/tx/mcallen)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1164456943)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)