MARTIN JOHANN PONTASCH MD
NPI 1053408872
Emergency Medicine in Highlands, NC
About Martin Johann Pontasch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN JOHANN PONTASCH MD (NPI 1053408872) is an individual emergency medicine provider in Highlands, North Carolina, licensed in Illinois (036170623) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Desoto Memorial Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Martin Johann Pontasch Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Martin Pontasch reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, KY 42445
- Reassigned Medicare billing, Kentucky enrollment
- 23 clinicians in this Medicare group
Akron, OH 44304
- Reassigned Medicare billing, Ohio enrollment
- 134 clinicians in this Medicare group
Napoleon, OH 43545
- Reassigned Medicare billing, Ohio enrollment
- 36 clinicians in this Medicare group
Toledo, OH 43608
- Reassigned Medicare billing, Ohio enrollment
- 277 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 147 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 124 clinicians in this Medicare group
Venice, FL 34285
- Reassigned Medicare billing, Florida enrollment
- 98 clinicians in this Medicare group
Clewiston, FL 33440
- Reassigned Medicare billing, Florida enrollment
- 147 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 clinicians in this Medicare group
Martin, SD 57551
- Reassigned Medicare billing, Texas enrollment
- 426 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Desoto Memorial Hospital
Acute Care Hospitals · Arcadia, FLCommunity Hospital Of Staunton
Critical Access Hospitals · Staunton, ILCaldwell Medical Center
Critical Access Hospitals · Princeton, KYHenry County Hospital, Inc
Critical Access Hospitals · Napoleon, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIGHLANDS, NC 28741
HIGHLANDS, NC 28741
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Martin Pontasch's NPI number?
The NPI number for Martin Pontasch is 1053408872. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Martin Pontasch located?
Martin Pontasch practices at 190 Hospital Dr, Highlands, NC 28741. The listed phone number is (828) 526-1200.
What is Martin Pontasch's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Martin Pontasch enrolled in Medicare?
Yes. Martin Pontasch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Martin Pontasch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Pontasch reassigns Medicare benefits to 10 organizations: Rh Emergency Medicine Of Caldwell Medical, LLC (Princeton, KY), Emergency Medicine Physicians Of Cuyahoga County, Ltd (Akron, OH), Ashland Emergency Group LLC (Napoleon, OH), Mercy Emergency Care Services, Inc. (Toledo, OH), Emergency Physicians Of Northwest Ohio Inc. (Toledo, OH) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Pontasch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Pontasch accept?
Health plans from CareSource, Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Paramount list Martin Pontasch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Martin Pontasch affiliated with any hospitals?
According to CMS data, Martin Pontasch is affiliated with Desoto Memorial Hospital, Community Hospital Of Staunton, Caldwell Medical Center and Henry County Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Martin Pontasch was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Martin Johann Pontasch, MD · NPI 1053408872
Emergency Medicine physician in Highlands, North Carolina. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1053408872 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036170623 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 HOSPITAL DR, Highlands, NC 28741-7600
- **Phone:** (828) 526-1200 · **Fax:** (828) 526-1230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Rh Emergency Medicine Of Caldwell Medical, LLC (NPI 1881376747, Princeton, KY); Emergency Medicine Physicians Of Cuyahoga County, Ltd (NPI 1265471148, Akron, OH); Ashland Emergency Group LLC (NPI 1073246971, Napoleon, OH); Mercy Emergency Care Services, Inc. (NPI 1477957819, Toledo, OH); Emergency Physicians Of Northwest Ohio Inc. (NPI 1043274418, Toledo, OH); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1988
## Record status
- **NPPES last updated:** June 27, 2024
- **Other identifiers:** Medicaid 0874406 (OH); Other NCS251B (NC); Other NCS251A (NC); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053408872) · Data from the CMS NPPES public registry.