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DR. FERNANDA SAMIRA PONCE MD
NPI 1194285486
Internal Medicine in Palmetto Bay, FL

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
91.79/100
CMS Quality Rating
8750 SW 144TH ST STE 100, PALMETTO BAY, FL 33176(786) 596-3840 Get Directions Write a Review

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2023, Mar 13, 2023, Aug 23, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Fernanda Samira Ponce Md NPPES

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

DR. FERNANDA SAMIRA PONCE MD (NPI 1194285486) is an individual internal medicine provider in Palmetto Bay, Florida, licensed in Florida (ME156325) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194285486
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. FERNANDA SAMIRA PONCECredential: MD
Location Address8750 SW 144TH ST STE 100Palmetto Bay, FL 33176-7229
Mailing Address8750 Sw 144th St Ste 100Palmetto Bay, FL 33176-7229 · (786) 596-3840
Phone(786) 596-3840
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateApril 8, 20234 updates tracked since enumeration
NPPES CertifiedApril 8, 2023
✔ NPI 1194285486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME156325✔ Licensed in CT · 69878
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8750 SW 144TH ST STE 100, Palmetto Bay, FL 33176
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Fernanda Samira 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 ID1052792132
PECOS Enrollment IDI20220901003619
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Fernanda Ponce reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care Physicians Of Palmetto Bay LLC
0.6 mi
General Practice
8950 SW 152ND ST STE 103
Palmetto Bay, FL 33157
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1740403914 (786) 596-3840
Urgent Care Physicians Of Cutler Bay, LLC
4.4 mi
General Practice
20997 OLD CUTLER RD
Cutler Bay, FL 33189
  • Reassigned Medicare billing, Florida enrollment
  • 43 clinicians in this Medicare group
NPI 1356163638 (786) 595-1780
Urgent Care Physicians Of Country Walk LLC
4.9 mi
General Practice
13500 SW 152ND ST
Miami, FL 33177
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1689838849 (786) 596-4300
Urgent Care Physicians Of West Kendall LLC
5.5 mi
General Practice
13001 SW 88TH ST
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
NPI 1508989757 (786) 596-3800
Urgent Care Physicians Of Westchester LLC
8.5 mi
General Practice
8840 BIRD ROAD, SUITE #100
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1992928162 (786) 596-3890
Urgent Care Physicians Of Tamiami LLC
10 mi
General Practice
14660 SW 8TH ST STE 100
Miami, FL 33184
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1639381965 (786) 596-4100
Collins Physician Services, LLC
17 mi
Hospitalist
4300 ALTON RD
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 120 clinicians in this Medicare group
NPI 1457839524 (305) 481-9776

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 7

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
205 services70 patients
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.
150 services61 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.
76 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services46 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

91.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.77
Improvement Activities40
Cost98.4

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENIA NUNEZ
Nurse Practitioner (Acute Care)
8750 SW 144TH ST STE 100
PALMETTO BAY, FL 33176
Miami-Dade County (786) 596-3840
DR. JUAN MANUEL DANGOND GOMEZ DO
Family Medicine
8750 SW 144TH ST STE 100
PALMETTO BAY, FL 33176
Miami-Dade County (786) 596-3840
EMERGENT PHYSICIANS OF PALMETTO BAY, LLC
Emergency Medicine
8750 SW 144TH ST STE 100
PALMETTO BAY, FL 33176
Miami-Dade County (786) 595-1850
CHRISTOPHER MICHAEL AGUILA PA-C
Physician Assistant (Medical)
8750 SW 144TH ST STE 100
PALMETTO BAY, FL 33176
Miami-Dade County (305) 323-9658
DOCTORS HOSPITAL INC
Non-Pharmacy Dispensing Site
8750 SW 144TH ST STE 100
PALMETTO BAY, FL 33176
Miami-Dade County (786) 595-1850

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 Fernanda Ponce's NPI number?

The NPI number for Fernanda Ponce is 1194285486. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Fernanda Ponce located?

Fernanda Ponce practices at 8750 SW 144th St Ste 100, Palmetto Bay, FL 33176. The listed phone number is (786) 596-3840.

What is Fernanda Ponce's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fernanda Ponce enrolled in Medicare?

Yes. Fernanda 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.

Which organizations bill Medicare for Fernanda Ponce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernanda Ponce reassigns Medicare benefits to 7 organizations: Urgent Care Physicians Of Palmetto Bay LLC (Palmetto Bay, FL), Urgent Care Physicians Of Cutler Bay, LLC (Cutler Bay, FL), Urgent Care Physicians Of Country Walk LLC (Miami, FL), Urgent Care Physicians Of West Kendall LLC (Miami, FL), Urgent Care Physicians Of Westchester LLC (Miami, FL) and 2 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 Fernanda Ponce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fernanda Ponce accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Fernanda Ponce 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 Fernanda Ponce affiliated with any hospitals?

According to CMS data, Fernanda Ponce is affiliated with Baptist Hospital Of Miami and Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Fernanda Ponce was last updated on April 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.