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DR. JAMES FRANKLIN PONTIUS PHD
NPI 1528094513
Psychologist - Clinical in Castle Rock, CO

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
1189 S PERRY ST STE 110B, CASTLE ROCK, CO 80104(330) 896-6262(330) 896-6264 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Franklin Pontius Phd NPPES

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

DR. JAMES FRANKLIN PONTIUS PHD (NPI 1528094513) is an individual clinical provider in Castle Rock, Colorado, licensed in Ohio (3349) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1528094513
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES FRANKLIN PONTIUSCredential: PHD
Location Address1189 S PERRY ST STE 110BCastle Rock, CO 80104
Mailing Address1189 S Perry St Ste 110bCastle Rock, CO 80104-1979 · (303) 814-5488
Phone(330) 896-6262
Fax(330) 896-6264
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 23, 2006
Last NPPES UpdateMay 18, 2018
✔ NPI 1528094513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · 3349
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 84107 (OH)
1189 S PERRY ST STE 110B, Castle Rock, CO 80104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and more.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

Dr. James Franklin Pontius Phd 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 ID4880792670
PECOS Enrollment IDI20200610001452
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80104 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 James Pontius's NPI number?

The NPI number for James Pontius is 1528094513. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is James Pontius located?

James Pontius practices at 1189 S Perry St Ste 110B, Castle Rock, CO 80104. The listed phone number is (330) 896-6262.

What is James Pontius's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is James Pontius enrolled in Medicare?

Yes. James Pontius 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 James Pontius accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list James Pontius 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 James Pontius was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.