Dr. Raul A. Pena
- Gender: Male
- Experience: 33 years
- Graduation year: 1988
- Sole propriator: Yes
- NPI: 1164456943
Dr. Raul A. Pena MD
Ophthalmologist
He is located at 1400 East Ridge Road Suite 10 in Mcallen, TX 78503. Can help patients with the following: Asthma, Blepharitis, Eye Floaters, Glaucoma, Keratitis, Retinal Detachment. His National Provider Identifier (NPI) number is 1164456943. Appointment can be made via the phone number (956) 661-8733. He is affiliated with 1 practices and 1 hospitals.
Conditions treated
Dr. Raul Adrian Pena, being an ophthalmologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Raul A. Pena.
- Abdominal Pain
- Acute Pain
- Anemia
- Arthritis
- Asthma
- Astigmatism
- Atherosclerosis
- Binocular Dysfunction (BVD)
- Bladder Control
- Blepharitis
- Blindness
- Cataracts
- Chalazion
- Chest Pain
- Cholecystitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Color Blindness
- Common Cold
- Constipation
- Corneal Disease
- Corneal Ulcer
- Crossed Eyes
- Cystitis
- Diabetic Retinopathy
- Diarrhea
- Double Vision
- Dry Eyes
- Edema
- Esotropia
- Exotropia
- Eye Floaters
- Eye Strain
- Farsightedness
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Glaucoma
- Headache
- Heart Disease
- Herpes of the Eye
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hypertropia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Keratitis
- Keratoconus
- LASIK
- Lazy Eye
- Macular Degeneration
- Migraine
- Nausea and Vomiting
- Nearsightedness
- Obesity
- Oculomotor Dysfunction
- Optic Neuritis
- Osteoporosis
- Peptic Ulcer
- Pink Eye
- Presbyopia
- Prescription Refill
- Retinal Detachment
- Retinitis Pigmentosa (RP)
- Scleritis
- Sty
- Subconjunctival Hemorrhage
- Tunnel Vision
- Urethritis
- Urinary Tract Infection (UTI)
- Usher Syndrome
- Uveitis
Procedures Performed by Dr. Raul A. Pena
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Raul A. Pena as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | EPO · Gold | Preferred | Accepting new patients at some locations |
| Complete Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients at some locations |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO · Silver | Preferred | Accepting new patients at some locations |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients at some locations |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients at some locations |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients at some locations |
| Focused Silver | EPO · Silver | Preferred | Accepting new patients at some locations |
| Focused Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients at some locations |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients at some locations |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients at some locations |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients at some locations |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients at some locations |
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 6 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete VALUE Gold (3 plan variants) | HMO · Gold | Preferred | Accepting new patients at some locations |
| Focused VALUE Silver (3 plan variants) | HMO · Silver | Preferred | Accepting new patients at some locations |
| Focused VALUE Silver + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients at some locations |
| Standard Gold VALUE (3 plan variants) | HMO · Gold | Preferred | Accepting new patients at some locations |
| Standard Silver VALUE (3 plan variants) | HMO · Silver | Preferred | Accepting new patients at some locations |
| Standard Silver VALUE + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients at some locations |
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 50 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Preferred | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Preferred | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Preferred | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Preferred | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Preferred | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Preferred | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Preferred | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Preferred | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Preferred | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Preferred | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Preferred | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| MyBlue Health Bronze℠ 402 (13 plan variants) | HMO · Expanded Bronze | Myblue Health | Accepting new patients |
| MyBlue Health Bronze℠ 402 (13 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| MyBlue Health Bronze℠ Standard (11 plan variants) | HMO · Expanded Bronze | Myblue Health | Accepting new patients |
| MyBlue Health Bronze℠ Standard (11 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| MyBlue Health Gold℠ 403 (13 plan variants) | HMO · Gold | Myblue Health | Accepting new patients |
| MyBlue Health Gold℠ 403 (13 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| MyBlue Health Gold℠ Standard (11 plan variants) | HMO · Gold | Myblue Health | Accepting new patients |
| MyBlue Health Gold℠ Standard (11 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| MyBlue Health Silver℠ 405 (13 plan variants) | HMO · Silver | Myblue Health | Accepting new patients |
| MyBlue Health Silver℠ 405 (13 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| MyBlue Health Silver℠ Standard (11 plan variants) | HMO · Silver | Myblue Health | Accepting new patients |
| MyBlue Health Silver℠ Standard (11 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic | EPO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients |
| Gold Elite | EPO · Gold | Preferred | Accepting new patients |
| Silver Classic | EPO · Silver | Preferred | Accepting new patients |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 14 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ (Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Raul A. Pena is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Raul A. Pena is enrolled to bill Medicare as a Practitioner - Ophthalmology (also registered under: Practitioner - Internal Medicine) .
Bills through: Raul Adrian Pena Md Pa
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Valeant Pharmaceuticals North America | $2212 |
| Abbott Laboratories | $804 |
| Johnson \u0026 Johnson | $640 |
Other
| Food and Beverage | $4213 |
| Travel and Lodging | $867 |
Studies
Graduated in 1988Additional Specialities
- Internist
Sanctions
| Date | Description | Board |
|---|---|---|
| 11/04/2011 | 7045.0 - AP 164.052(a)(6) USES AN ADVERTISING STATEMENT THAT FALSE, MISLEADING OR DECEPTIVE | Medical Board |
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Questions & Answers
Has Dr. Raul Adrian Pena affiliation with hospitals?
Dr. Raul Adrian Pena is affiliated with DOCTORS HOSPITAL AT RENAISSANCE.
What conditions does Dr. Raul Adrian Pena treat?
Dr. Raul Adrian Pena provides treatment for Asthma, Blepharitis, Eye Floaters, Glaucoma, Keratitis, Retinal Detachment. For the full list see this list.
Does Dr. Raul Adrian Pena have affiliation with practices?
Dr. Raul Adrian Pena is affiliated with Raul Adrian Pena MD PA.
Where can you meet with Dr. Raul Adrian Pena?
Dr. Raul Adrian Pena's office is located at 1400 East Ridge Road Suite 10 in Mcallen, TX 78503.
Does Dr. Raul Adrian Pena accept patients with Blue Cross and Blue Shield of Texas?
Yes, Dr. Raul Adrian Pena is listed in-network for Blue Cross and Blue Shield of Texas through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.