KARINA ANDREA PONE DO
NPI 1306307970
Obstetrics & Gynecology - Maternal & Fetal Medicine in Grand Rapids, MI

Q: What is Karina Pone's NPI number?

The NPI number for Karina Pone is 1306307970. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Karina Pone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Karina Pone was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 March 27, 2019PECOS EnrolledAccepts Medicare Assignment

25 MICHIGAN ST NE STE 5200, GRAND RAPIDS, MI 49503(616) 391-3681 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2026, Jul 6, 2023 (2 updates tracked since 2023).

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About Karina Andrea Pone Do NPPES

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

KARINA ANDREA PONE DO (NPI 1306307970) is an individual maternal & fetal medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101029435) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306307970

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameKARINA ANDREA PONECredential: DO

Location Address25 MICHIGAN ST NE STE 5200Grand Rapids, MI 49503-2572

Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560

Phone(616) 391-3681

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 27, 2019

Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1306307970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

License✔ Licensed in MI · 5101029435

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 5101029435 (MI)

25 MICHIGAN ST NE STE 5200, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual 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

Karina Andrea Pone Do 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 ID2668708033

PECOS Enrollment IDI20230718001224

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

Medicare enrollment records show Karina Pone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners

Same address

Pediatric Endocrinology

35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
2,446 clinicians in this Medicare group

NPI 1326599671 (616) 391-3933

Mayo Clinic

349 mi

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 13

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

ERIN MICHELLE FRICKE M.D.

Obstetrics & Gynecology