JOHN M PONEROS MD
NPI 1164413332
Internal Medicine - Gastroenterology in New York, NY

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 305-1909 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John M Poneros Md NPPES

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

JOHN M PONEROS MD (NPI 1164413332) is an individual gastroenterology provider in New York, New York, licensed in New York (204810) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1164413332
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN M PONEROSCredential: MD
Location Address161 FORT WASHINGTON AVENew York, NY 10032-3729
Mailing Address630 W 168th St # 4New York, NY 10032-3725
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1995
Enumeration DateNovember 4, 2005
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1164413332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in NY · 204810 Licensed in MA · 161029
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

161 FORT WASHINGTON AVE, New York, NY 10032

Secondary Practice Location 1

Location 175 Francis St, Dept of GastroenterologyBoston, MA 02115-6110 · Phone (617) 732-6389

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

John M Poneros 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 ID1658443619
PECOS Enrollment IDI20090106000649
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 12

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.

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.
154 services131 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
117 services112 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237
This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.
58 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238
An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.
37 services36 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
32 services25 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine
161 FORT WASHINGTON AVE, SUITE 3-312
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
161 FORT WASHINGTON AVE, NINTH FLOOR
NEW YORK, NY 10032
Internal Medicine (Cardiovascular Disease)
161 FORT WASHINGTON AVE, SUITE 546
NEW YORK, NY 10032
Obstetrics & Gynecology (Maternal & Fetal Medicine)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Obstetrics & Gynecology (Maternal & Fetal Medicine)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Obstetrics & Gynecology (Gynecology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032

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 John Poneros's NPI number?

The NPI number for John Poneros is 1164413332. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is John Poneros located?

John Poneros practices at 161 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 305-1909.

What is John Poneros's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Poneros enrolled in Medicare?

Yes. John Poneros 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.

Is John Poneros affiliated with any hospitals?

According to CMS data, John Poneros is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for John Poneros was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.