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DR. JAY PONTO MD, DDS
NPI 1568845949
Oral & Maxillofacial Surgery in Birmingham, AL

Active since July 03, 2015PECOS EnrolledAccepts Medicare Assignment
1919 7TH AVE S, BIRMINGHAM, AL 35233(205) 934-3411 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2024, Jun 19, 2018, Oct 17, 2016 (3 updates tracked since 2016).

About Dr. Jay Ponto Md, Dds NPPES

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

DR. JAY PONTO MD, DDS (NPI 1568845949) is an individual oral & maxillofacial surgery provider in Birmingham, Alabama, licensed in Alabama (46593) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2014).

NPPES Registry Identity

NPI1568845949
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JAY PONTOCredential: MD, DDS
Location Address1919 7TH AVE SBirmingham, AL 35233-2005
Mailing Address1919 7th Ave SBirmingham, AL 35233-2005 · (205) 934-4011
Phone(205) 934-3411
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2014
Enumeration DateJuly 3, 2015
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1568845949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in AL · 46593
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 63540 (CA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 46593 (AL)
1919 7TH AVE S, Birmingham, AL 35233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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. Jay Ponto Md, Dds 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 ID42595720
PECOS Enrollment IDI20230913002080
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 3

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.
24 services19 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
18 services17 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.
15 services15 patients

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.

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers24 claims24 services$28.10 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 20

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

DR. RYAN CHASE SEELEY DMD
Dentist
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4507
DR. ALEXANDRIA BRITTANEY BROWN
Dentist (General Practice)
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
SOOMIN CHO
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
PAYTON LEWIS
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
SARAH CATHERINE LLOYD
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3000
DR. ERIC M. BLASINGAME DDS, MS
Dentist (Periodontics)
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4551
ETHAN LIAM PAGE BRENNA
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
SAMUEL MCMURRY
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387

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 Jay Ponto's NPI number?

The NPI number for Jay Ponto is 1568845949. It was assigned to this individual provider in the NPPES registry on July 3, 2015.

Where is Jay Ponto located?

Jay Ponto practices at 1919 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-3411.

What is Jay Ponto's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jay Ponto enrolled in Medicare?

Yes. Jay Ponto 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 Jay Ponto accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and BEST Life and 10 other insurers list Jay Ponto 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 Jay Ponto was last updated on May 16, 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.