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ROGER KARL PONS MD
NPI 1548217383
Preventive Medicine - Undersea and Hyperbaric Medicine in Herrin, IL

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
315 S 13TH ST STE 3, HERRIN, IL 62948(618) 988-6157 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, May 18, 2017 (2 updates tracked since 2017).

About Roger Karl Pons Md NPPES

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

ROGER KARL PONS MD (NPI 1548217383) is an individual undersea and hyperbaric medicine provider in Herrin, Illinois, licensed in Illinois (036167569) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548217383
Entity TypeIndividualMale
Primary Taxonomy2083P0011X
Provider Legal NameROGER KARL PONSCredential: MD
Location Address315 S 13TH ST STE 3Herrin, IL 62948-3666
Mailing Address2 S Hospital DrMurphysboro, IL 62966-3333 · (305) 331-1675
Phone(618) 988-6157
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1548217383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License✔ Licensed in IL · 036167569
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Also ListedSurgeryTaxonomy 208600000X · License ME102585 (FL)
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License ME102585 (FL)
315 S 13TH ST STE 3, Herrin, IL 62948
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-1035
Location 2777 E 25th St Ste 420Hialeah, FL 33013-3835 · Phone (305) 696-0001 · Fax (305) 696-0007

Other Identifiers 3

Other001722622Blue Cross Blue Shield
Medicaid000504600FL
OtherV006270Champus

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

Roger Karl 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 ID7214097450
PECOS Enrollment IDI20240103002076
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.

Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
626 services33 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
306 services87 patients
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.
129 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
114 services63 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
38 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims752 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

RACHEL MICHELS
Nurse Practitioner
315 S 13TH ST STE 3
HERRIN, IL 62948
Williamson County (618) 988-6157

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 Roger Pons's NPI number?

The NPI number for Roger Pons is 1548217383. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Roger Pons located?

Roger Pons practices at 315 S 13th St Ste 3, Herrin, IL 62948. The listed phone number is (618) 988-6157.

What is Roger Pons's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Roger Pons enrolled in Medicare?

Yes. Roger 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.

Is Roger Pons affiliated with any hospitals?

According to CMS data, Roger Pons is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Roger Pons was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.