CARIDAD PONCE MARTINEZ MD
NPI 1316237852
Psychiatry & Neurology - Psychiatry in Worcester, MA

Q: What is Caridad Ponce Martinez's NPI number?

The NPI number for Caridad Ponce Martinez is 1316237852. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Q: What is Caridad Ponce Martinez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 18, 2011PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

100 CENTURY DR, WORCESTER, MA 01606(508) 762-5400(508) 762-5410 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2020, Mar 17, 2018, Jul 26, 2017 and 2 more (5 updates tracked since 2016).

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About Caridad Ponce Martinez Md NPPES

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

CARIDAD PONCE MARTINEZ MD (NPI 1316237852) is an individual psychiatry provider in Worcester, Massachusetts, licensed in Massachusetts (265858) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1316237852

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCARIDAD PONCE MARTINEZCredential: MD

Location Address100 CENTURY DRWorcester, MA 01606-1244

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 762-5400

Fax(508) 762-5410

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 18, 2011

Last NPPES UpdateOctober 27, 20205 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1316237852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MA · 265858✔ Licensed in CT · 54141

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 54141 (CT)

100 CENTURY DR, Worcester, MA 01606

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Other Identifiers 9

Other008022622CT · Legion Medicaid

Medicaid110114551AMA

Other008003745CT · Medicaid Access Center

OtherS400316833MA · Medicare

Other004082260CT · Legion Medicaid

Other008001325CT · Legion Medicaid

OtherD400249296CT · Ponce Martinez Medicare

Other004217099CT · Medicaid Pcs Long Wharf

Other004041000CT · Medicaid Access Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Caridad Ponce Martinez 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 ID2961631916

PECOS Enrollment IDI20160812001927

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 2

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.

68 services24 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

41 services12 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

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.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

DR. JOSHUA HAUGH DO

Psychiatry & Neurology (Psychiatry)