Guillermo A. Pena, MD
NPI 1013978162ActiveIndividual· Internal Medicine· Blue Ridge, GA
Internal Medicine (MD) with Georgia Mountains Health Services, Inc., practicing in Blue Ridge, Georgia. Their prescriptions cost Medicare Part D more than their services did: $680,160 for 5,857 claims, against $333.75 paid for services in 2024. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2025, $97.26 in all, mostly food and beverage. Lists Blue Ridge Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1013978162 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 29, 2006 |
| Last updated in NPPES | Nov 4, 2021 |
| Certified by provider | Nov 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 059493 | GA |
| Internal Medicine | 207R00000X | 46222 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 42 across 8 procedure codes |
| Paid by Medicare | $333.75 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,857 · 12,549 30-day fills |
|---|---|
| Patients | 287 |
| Total drug cost | $680,160 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Georgia Mountains Health Services, Inc.Chatsworth, GA · 22 clinicians
Hospital affiliations
- Blue Ridge Medical CenterBlue Ridge, GA
- Northeast Georgia Medical Center, IncGainesville, GA
- Northside Hospital CherokeeCanton, GA
- Piedmont Mountainside Hospital IncJasper, GA
- Union General HospitalBlairsville, GA
Other facilities
- Amedisys Northwest Home HealthHome health agency · Jasper, GA
- Pruitthealth at Home - GainesvilleHome health agency · Gainesville, GA
- Tugaloo Home Health Agency, An Amedisy CompanyHome health agency · Gainesville, GA
Industry payments (Open Payments)
- 2025$97.26 · 6 payments from 5 companies
- 2024$216.37 · 12 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $36.26 | 2 |
| Merck Sharp & Dohme LLC | $18.48 | 1 |
| Exact Sciences Corporation | $15.23 | 1 |
| Lilly USA, LLC | $13.65 | 1 |
| Dexcom, Inc. | $13.64 | 1 |
What the 2025 payments were for
- Food and Beverage$97.26 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Blue Ridge
- 1073516621
- 1477574473
- 1760616320
- 1053305888
- 1558344994
- 1245304013
- 1174522262