DR. GUILLERMO P PONCE DE LEON M.D.
NPI 1609961697
Surgery in Houston, TX

Q: What is Guillermo Ponce De Leon's NPI number?

The NPI number for Guillermo Ponce De Leon is 1609961697. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Guillermo Ponce De Leon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

7777 SOUTHWEST FWY, SUITE 810, HOUSTON, TX 77074(713) 772-1200(713) 772-0258 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2021, Jul 6, 2020, Jan 2, 2020 and 9 more (12 updates tracked since 2016).

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About Dr. Guillermo P Ponce De Leon M.d. NPPES

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

DR. GUILLERMO P PONCE DE LEON M.D. (NPI 1609961697) is an individual surgery provider in Houston, Texas, licensed in Texas (J4446) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Sugar Land.

NPPES Registry Identity

NPI1609961697

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. GUILLERMO P PONCE DE LEONCredential: M.D.

Location Address7777 SOUTHWEST FWY, SUITE 810Houston, TX 77074-1802

Mailing Address13811 Murphy RdStafford, TX 77477-4903 · (713) 772-1200 · Fax (713) 772-0258

Phone(713) 772-1200

Fax(713) 772-0258

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1992

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 14, 202112 updates tracked since enumeration

NPPES CertifiedJune 14, 2021

✔ NPI 1609961697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · J4446

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7777 SOUTHWEST FWY, Houston, TX 77074

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Secondary Practice Location 1

Location 116651 Southwest Fwy Ste 360Sugar Land, TX 77479-2394 · Phone (713) 772-1200 · Fax (281) 491-0426

Other Identifiers 5

Other4722236TX · Cigna

Other5908117TX · Aetna

Other1001101217TX · Amerigroup

Medicaid1376204-03TX

Other20038447TX · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Guillermo P Ponce De Leon 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 ID7618885997

PECOS Enrollment IDI20110204000442

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 12

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.

Test or measurement for functional capacity, each 15 minutes 97750

This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.

80 services32 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.

58 services58 patients

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.

48 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 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.

36 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

27 services27 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

23 services23 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

21 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Sugar Land Surgical Hospital LLP

Acute Care Hospitals · Sugar Land, TX

OwnershipPhysician

CMS Certification Number450860

Location16906 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670053

Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…

94%98 patients

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…

98%97 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

JUDITH GOLD, M.D., P.A.

Internal Medicine (Nephrology)

7777 SOUTHWEST FWY, 1052
HOUSTON, TX 77074

Harris County (713) 988-8776

SOUTHWEST NEPHROLOGY ASSOCIATES, LLP

Specialist

7777 SOUTHWEST FWY, STE.# 304
HOUSTON, TX 77074

Harris County (713) 270-4545

ENRIQUE HEBERTO RIOS JR. M.D.

Pediatrics (Neonatal-Perinatal Medicine)

7777 SOUTHWEST FWY, SUITE 310
HOUSTON, TX 77074

Harris County (713) 772-3300

KEVIN G NICKELL MD

Urology

7777 SOUTHWEST FWY, # 1032
HOUSTON, TX 77074

Harris County (713) 351-0644

CHERYL SCHULTZ OPAC

Physician Assistant (Surgical)

7777 SOUTHWEST FWY, SUITE 432
HOUSTON, TX 77074

Harris County (713) 777-4785

DR. JOHN DAVID FISHER MD

Surgery

7777 SOUTHWEST FWY, SUITE 810
HOUSTON, TX 77074

Harris County (713) 772-1200

DR. CARL VICTOR VARTIAN MD

Internal Medicine (Infectious Disease)

7777 SOUTHWEST FWY, 740
HOUSTON, TX 77074

Harris County (713) 777-7751

PROF. ANITHA THOMAS ABRAHAM MD

Psychiatry & Neurology (Neurology)

7777 SOUTHWEST FWY, STE 724
HOUSTON, TX 77074

Harris County (713) 456-6864

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 Guillermo Ponce De Leon's NPI number?

The NPI number for Guillermo Ponce De Leon is 1609961697. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Guillermo Ponce De Leon located?

Guillermo Ponce De Leon practices at 7777 Southwest Fwy Suite 810, Houston, TX 77074. The listed phone number is (713) 772-1200.

What is Guillermo Ponce De Leon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Guillermo Ponce De Leon enrolled in Medicare?

Yes. Guillermo Ponce De Leon 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 Guillermo Ponce De Leon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Guillermo Ponce De Leon 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.

Is Guillermo Ponce De Leon affiliated with any hospitals?

According to CMS data, Guillermo Ponce De Leon is affiliated with Memorial Hermann Hospital System, Houston Methodist Sugarland Hospital, Memorial Hermann Sugar Land Hospital, Sugar Land Surgical Hospital LLP and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Guillermo Ponce De Leon was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.