FRANCISCO PONS MD
NPI 1508849027
Internal Medicine - Nephrology in Miami, FL

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
98.56/100
CMS Quality Rating
13500 SW 88TH ST, SUITE 131, MIAMI, FL 33186(305) 388-5222(305) 388-5660 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Francisco Pons Md NPPES

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

FRANCISCO PONS MD (NPI 1508849027) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME-47045) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1508849027
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameFRANCISCO PONSCredential: MD
Location Address13500 SW 88TH ST, SUITE 131Miami, FL 33186-1515
Mailing Address13500 Sw 88th St, Suite 131Miami, FL 33186-1515 · (305) 388-5222 · Fax (305) 388-5660
Fax(305) 388-5660
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateNovember 29, 2005
Last NPPES UpdateOctober 2, 2013
NPI 1508849027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in FL · ME-47045
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
13500 SW 88TH ST, Miami, FL 33186

Other Identifiers 3

Medicare ID-Type Unspecified96932YFL
Medicare UPINB77210
Medicaid252589500FL

Accepted 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

Francisco Pons 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 ID4385600139
PECOS Enrollment IDI20041203000620
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 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.

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.
442 services149 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
164 services27 patients
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.
65 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 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.

98.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost68.56

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%5,747 patients5/55-star benchmark: 100%
e-Prescribing
98%6,659 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%2,016 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%878 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 2,020 patients
Patients screened: 99% · 2,020 patients
100%224 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,021 patients5/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%5,754 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,603 patients
Patients totalRate: 0% · 1,603 patients
0%1,603 patients5/55-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 18

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

Occupational Therapist (Pediatrics)
13500 SW 88TH ST, SUITE 171
MIAMI, FL 33186
Behavior Technician
13500 SW 88TH ST
MIAMI, FL 33186
Pediatrics
13500 SW 88TH ST, SUITE 181
MIAMI, FL 33186
Occupational Therapist (Hand)
13500 SW 88TH ST, SUITE 171
MIAMI, FL 33186
Family Medicine
13500 SW 88TH ST, SUITE 215
MIAMI, FL 33186
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
13500 SW 88TH ST, SUITE 295B
MIAMI, FL 33186
Physiological Laboratory
13500 SW 88TH ST
MIAMI, FL 33186
Behavior Technician
13500 SW 88TH ST
MIAMI, FL 33186

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 Francisco Pons's NPI number?

The NPI number for Francisco Pons is 1508849027. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Francisco Pons located?

Francisco Pons practices at 13500 SW 88th St Suite 131, Miami, FL 33186. The listed phone number is (305) 388-5222.

What is Francisco Pons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Francisco Pons enrolled in Medicare?

Yes. Francisco Pons 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.

What insurance does Francisco Pons accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Francisco Pons 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.

When was this NPI record last updated?

The NPPES record for Francisco Pons was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.