DORIS M PONCE MD
NPI 1114192242
Internal Medicine - Hematology & Oncology in New York, NY

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
73.6/100
CMS Quality Rating
1233 YORK AVE, SR 327, NEW YORK, NY 10065(212) 639-4838 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doris M Ponce Md NPPES

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

DORIS M PONCE MD (NPI 1114192242) is an individual hematology & oncology provider in New York, New York, licensed in New York (P56025) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1114192242
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDORIS M PONCECredential: MD
Location Address1233 YORK AVE, SR 327New York, NY 10065-6306
Mailing Address1233 York AveNew York, NY 10065-6306 · (212) 639-4838
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 29, 2008
Last NPPES UpdateJanuary 17, 2014
NPI 1114192242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · P56025
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1233 YORK AVE, New York, NY 10065

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

Doris M Ponce 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 ID5395879266
PECOS Enrollment IDI20100813000430
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.06
Improvement Activities40

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.

Surgery
1233 YORK AVE
NEW YORK, NY 10065
Special Hospital
1233 YORK AVE, SUITE 11-O
NEW YORK, NY 10065
Pharmacist (Oncology)
1233 YORK AVE, RM 307
NEW YORK, NY 10065
Surgery (Surgical Oncology)
1233 YORK AVE, BOX 435
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
1233 YORK AVE, APT. 15L
NEW YORK, NY 10065
Obstetrics & Gynecology (Gynecologic Oncology)
1233 YORK AVE, 12 N
NEW YORK, NY 10065
Internal Medicine (Medical Oncology)
1233 YORK AVE, 19N
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
1233 YORK AVE
NEW YORK, NY 10065

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 Doris Ponce's NPI number?

The NPI number for Doris Ponce is 1114192242. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Doris Ponce located?

Doris Ponce practices at 1233 York Ave Sr 327, New York, NY 10065. The listed phone number is (212) 639-4838.

What is Doris Ponce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Doris Ponce enrolled in Medicare?

Yes. Doris Ponce 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.

When was this NPI record last updated?

The NPPES record for Doris Ponce was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.