DR. MITCHELL W PONSFORD DMD
NPI 1073982252
Dentist - Periodontics in Boerne, TX

Q: What is Mitchell Ponsford's NPI number?

The NPI number for Mitchell Ponsford is 1073982252. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Q: What is Mitchell Ponsford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Ponsford was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 17, 2015PECOS Enrolled

248 N MAIN ST STE 1, BOERNE, TX 78006(830) 816-5102 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mitchell W Ponsford Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITCHELL W PONSFORD DMD (NPI 1073982252) is an individual periodontics provider in Boerne, Texas, licensed in Texas (31434) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1073982252

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MITCHELL W PONSFORDCredential: DMD

Location Address248 N MAIN ST STE 1Boerne, TX 78006

Mailing Address248 N Main St Ste 1Boerne, TX 78006-2036 · (830) 816-5102

Phone(830) 816-5102

Sole ProprietorNo

Enumeration DateSeptember 17, 2015

Last NPPES UpdateJuly 19, 2018

✔ NPI 1073982252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in TX · 31434

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

248 N MAIN ST STE 1, Boerne, TX 78006

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Secondary Practice Location 1

Location 13302 Gaston Ave, Graduate PeriodonticsDallas, TX 75246-2013 · Phone (915) 526-0120

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Dr. Mitchell W Ponsford Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mitchell Ponsford's NPI number?

The NPI number for Mitchell Ponsford is 1073982252. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Mitchell Ponsford located?

Mitchell Ponsford practices at 248 N Main St Ste 1, Boerne, TX 78006. The listed phone number is (830) 816-5102.

What is Mitchell Ponsford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mitchell Ponsford enrolled in Medicare?

Yes. Mitchell Ponsford is registered in the Medicare PECOS enrollment system.

What insurance does Mitchell Ponsford accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 13 other insurers list Mitchell Ponsford 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.

When was this NPI record last updated?

The NPPES record for Mitchell Ponsford was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.