Dr. Nicolas De LA Pena, MD
5750 Centre Ave, Suite 510, Pittsburgh, PA 15206 • +1-466-555-3959
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Pittsburgh Percentiles
NPI #1477554772 • CBSA Regional • Infectious Disease
Operating out of Pittsburgh, PA (5750 Centre Ave, Suite 510), Infectious Disease clinician Dr. Nicolas De LA Pena, MD (accredited MD/DO training, 1994) maintains a focused low-volume boutique caseload (14.29th Pittsburgh percentile) (29.52th PA percentile; Z-score -0.33σ across 823 documented services) with sub-specialty concentration in 7 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. De LA Pena (averaging 3.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (370 encounters), paired with 99213 (214x).
For out-of-network patients contacting +1-466-555-3959, Dr. De LA Pena's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.72/5 composite reality score over 23 submissions).
Spanning 32 years of clinical practice following 1994 graduation from medical training, Dr. Nicolas De LA Pena integrates 7 Active CMS HCPCS Codes diagnostics for Pittsburgh metro patients.
Compared against Pittsburgh, PA Infectious Disease peers
823 annual services across 245 beneficiaries
Standard deviations from PA Infectious Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 370 | 14.29th | $179 – $246 |
| 99213 | Established Preventive & Chronic Care Visit | 214 | 12th | $137 – $188 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 107 | 12th | $65 – $90 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 82 | 12.29th | $210 – $288 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 49 | 12th | $249 – $342 |
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Dr. Nicolas De LA Pena, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. De LA Pena National Provider Identifier | NPI #1477554772 (MD) | CMS NPPES Registry (15206) |
| Dr. De LA Pena Pittsburgh CMS Volume Rank | 14.29th Pct (823 CMS svcs; Z -0.330σ) | CMS Medicare Part B (PA Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pittsburgh, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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