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MARTIN JOHANN PONTASCH MD
NPI 1053408872
Emergency Medicine in Highlands, NC

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
190 HOSPITAL DR, HIGHLANDS, NC 28741(828) 526-1200(828) 526-1230 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Jan 20, 2022, Aug 20, 2021 and 1 more (4 updates tracked since 2016).

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

NPI1053408872
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARTIN JOHANN PONTASCHCredential: MD
Location Address190 HOSPITAL DRHighlands, NC 28741-7600
Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 526-1280 · Fax (828) 526-1285
Phone(828) 526-1200
Fax(828) 526-1230
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1988
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 27, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1053408872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036170623✔ Licensed in NC · 2015-01079
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X · License 35058998P (OH)
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME100079 (FL)
190 HOSPITAL DR, Highlands, NC 28741
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Other Identifiers 5

Medicaid0874406OH
OtherNCS251BNC · Medicare Ptan
OtherNCS251ANC · Medicare Ptan
OtherNCS251A194NC · Medicare Ptan
Other000000344358Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., AvMed, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456334325
PECOS Enrollment IDI20110331000360
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services97 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100175
Location900 N Robert AveArcadia, FL 34265 · De Soto County
Emergency services

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Henry County Hospital, Inc

Critical Access Hospitals · Napoleon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361309
Location1600 East Riverview AvenueNapoleon, OH 43545 · Henry County
Emergency services

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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-CASHIERS PHYSICIAN SERVICES
Surgery
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1200
HIGHLANDS-CASHIERS HOSPITAL, INC.
Family Medicine
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1495
LEILA M MARTIN MD
Anesthesiology
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1424
HIGHLANDS-CASHIERS HOSPITAL
Clinical Medical Laboratory
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1200
DR. SEAN WILLIAM DOZIER PHARM.D.
Pharmacist
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1200
DR. STEWART ALAN STANCIL MD
Emergency Medicine
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1200
HIGHLANDS-CASHIERS HOSPITAL
General Acute Care Hospital (Critical Access)
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1448
MH HIGHLANDS-CASHIERS MEDICAL CENTER, LLLP
Pharmacy (Long Term Care Pharmacy)
190 HOSPITAL DR
HIGHLANDS, NC 28741
Macon County (828) 526-1200

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.

What insurance does Martin Pontasch accept?

Health plans from Antidote Health Plan of Ohio, Inc., AvMed, CareSource, Oscar Health Insurance and Oscar Insurance Company 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 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.