MR. ANDRES MIGUEL PONCE M.D.
NPI 1568859924
Internal Medicine - Rheumatology in Philadelphia, PA

Q: What is Andres Ponce's NPI number?

The NPI number for Andres Ponce is 1568859924. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Q: What is Andres Ponce's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andres Ponce was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment

211 S 9TH ST STE 600, PHILADELPHIA, PA 19107(215) 955-8430 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2020, Jul 20, 2020 (2 updates tracked since 2020).

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About Mr. Andres Miguel Ponce M.d. NPPES

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

MR. ANDRES MIGUEL PONCE M.D. (NPI 1568859924) is an individual rheumatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD471135) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2015).

NPPES Registry Identity

NPI1568859924

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameMR. ANDRES MIGUEL PONCECredential: M.D.

Location Address211 S 9TH ST STE 600Philadelphia, PA 19107-6810

Mailing Address211 S 9th St Ste 600Philadelphia, PA 19107-6810

Phone(215) 955-8430

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2015

Enumeration DateApril 22, 2015

Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration

NPPES CertifiedAugust 18, 2020

✔ NPI 1568859924 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 PA · MD471135

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.

211 S 9TH ST STE 600, Philadelphia, PA 19107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mr. Andres Miguel Ponce M.d. 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 ID9335446475

PECOS Enrollment IDI20200817003941

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.

170 services111 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

113 services85 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.

55 services41 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

29 services23 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.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 9

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

DR. ERIC JASON SHIFFRIN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)