ENTELA PONE MD
NPI 1508168535
Internal Medicine - Rheumatology in Buffalo, NY

Active since November 23, 2010PECOS EnrolledAccepts Medicare Assignment
832 WALDEN AVE, BUFFALO, NY 14211(716) 381-9046(716) 436-3187 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Entela Pone Md NPPES

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

ENTELA PONE MD (NPI 1508168535) is an individual rheumatology provider in Buffalo, New York, licensed in New York (272508) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1508168535
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameENTELA PONECredential: MD
Location Address832 WALDEN AVEBuffalo, NY 14211-2639
Mailing Address832 Walden AveBuffalo, NY 14211-2639 · (716) 381-9046 · Fax (716) 436-3187
Fax(716) 436-3187
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 23, 2010
Last NPPES UpdateJune 23, 2016
NPI 1508168535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 272508
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
832 WALDEN AVE, Buffalo, NY 14211

Other Identifiers 1

OtherJ400235162NY · Medicare Number

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

Entela Pone 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 ID6002093374
PECOS Enrollment IDI20110614000548
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.
85 services34 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.
27 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14211 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
13%204 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
13%38 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%2,308 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%535 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 662 patients
0%662 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 163 patients
Patients totalRate: 8% · 163 patients
7%163 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Radiology (Diagnostic Radiology)
832 WALDEN AVE
BUFFALO, NY 14211
Internal Medicine (Rheumatology)
832 WALDEN AVE
BUFFALO, NY 14211

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 Entela Pone's NPI number?

The NPI number for Entela Pone is 1508168535. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Where is Entela Pone located?

Entela Pone practices at 832 Walden Ave, Buffalo, NY 14211. The listed phone number is (716) 381-9046.

What is Entela Pone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Entela Pone enrolled in Medicare?

Yes. Entela Pone 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.

When was this NPI record last updated?

The NPPES record for Entela Pone was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.