CARIDAD PONCE MARTINEZ MD
NPI 1316237852
Psychiatry & Neurology - Psychiatry in Worcester, MA
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
Specialties & Licenses 2
Other Identifiers 9
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Caridad Ponce Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
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 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.
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, MAPhysician 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.
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.
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.
WORCESTER, MA 01606
WORCESTER, MA 01606
WORCESTER, MA 01606
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 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.
Where is Caridad Ponce Martinez located?
Caridad Ponce Martinez practices at 100 Century Dr, Worcester, MA 01606. The listed phone number is (508) 762-5400.
What is Caridad Ponce Martinez's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Caridad Ponce Martinez enrolled in Medicare?
Yes. Caridad Ponce Martinez 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 organization bills Medicare for Caridad Ponce Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caridad Ponce Martinez reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Caridad Ponce Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caridad Ponce Martinez accept?
Health plans from Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Caridad Ponce Martinez 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 Caridad Ponce Martinez affiliated with any hospitals?
According to CMS data, Caridad Ponce Martinez is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Caridad Ponce Martinez was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Caridad Ponce Martinez, MD · NPI 1316237852
Psychiatry physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since April 18, 2011.
## Identity
- **NPI:** 1316237852 (Entity type: Individual)
- **Enumerated:** April 18, 2011
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 265858 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 CENTURY DR, Worcester, MA 01606-1244
- **Phone:** (508) 762-5400 · **Fax:** (508) 762-5410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 27, 2020
- **Other identifiers:** Other 008022622 (CT); Medicaid 110114551A (MA); Other 008003745 (CT); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1316237852) · Data from the CMS NPPES public registry.