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MICHAEL HALL PONTIUS O.D.
NPI 1609916246
Optometrist in Stockton, CA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
715 LINCOLN CTR, STOCKTON, CA 95207(209) 477-0726(209) 477-8192 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Hall Pontius O.d. NPPES

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

MICHAEL HALL PONTIUS O.D. (NPI 1609916246) is an individual optometrist in Stockton, California, licensed in California (7033) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1980).

NPPES Registry Identity

NPI1609916246
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL HALL PONTIUSCredential: O.D.
Location Address715 LINCOLN CTRStockton, CA 95207-2644
Mailing Address715 Lincoln CtrStockton, CA 95207-2644 · (209) 477-0726 · Fax (209) 477-8192
Phone(209) 477-0726
Fax(209) 477-8192
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 1980
Enumeration DateFebruary 6, 2007
Last NPPES UpdateNovember 23, 2009
✔ NPI 1609916246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 7033
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
715 LINCOLN CTR, Stockton, CA 95207
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Other Identifiers 3

MedicaidSD0070330CA
Medicare NSC0806140001CA
Medicare UPINSD0070330CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Michael Hall Pontius O.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 ID3072638923
PECOS Enrollment IDI20100915000493
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95207 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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 Michael Pontius's NPI number?

The NPI number for Michael Pontius is 1609916246. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Michael Pontius located?

Michael Pontius practices at 715 Lincoln Ctr, Stockton, CA 95207. The listed phone number is (209) 477-0726.

What is Michael Pontius's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Pontius enrolled in Medicare?

Yes. Michael 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 Michael Pontius accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Michael 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 Michael Pontius was last updated on November 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.