DR. MARCUS C PONCE DE LEON M.D.
NPI 1659417434
Psychiatry & Neurology - Neurology in Tacoma, WA

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

The NPI number for Marcus Ponce De Leon is 1659417434. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment

MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE, TACOMA, WA 98431(253) 968-6478(253) 968-9054 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 22, 2020, Mar 12, 2019, Feb 25, 2019 (3 updates tracked since 2019).

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About Dr. Marcus C Ponce De Leon M.d. NPPES

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

DR. MARCUS C PONCE DE LEON M.D. (NPI 1659417434) is an individual neurology provider in Tacoma, Washington, licensed in Washington (MD61012423) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and maintains a secondary practice location in Gig Harbor.

NPPES Registry Identity

NPI1659417434

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MARCUS C PONCE DE LEONCredential: M.D.

Location AddressMADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUETacoma, WA 98431-1100

Mailing AddressMadigan Army Medical Ctr 90390 Gardner Loop RdTacoma, WA 98431-0001 · (253) 968-6478 · Fax (253) 968-9054

Phone(253) 968-6478

Fax(253) 968-9054

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1999

Enumeration DateJanuary 29, 2007

Last NPPES UpdateOctober 22, 20203 updates tracked since enumeration

NPPES CertifiedOctober 22, 2020

✔ NPI 1659417434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in WA · MD61012423✔ Licensed in GA · 050245

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE, Tacoma, WA 98431

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Secondary Practice Location 1

Location 16401 Kimball Dr Fl 2Gig Harbor, WA 98335-1228 · Phone (253) 985-2722 · Fax (253) 985-2853

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marcus C 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 ID2769662618

PECOS Enrollment IDI20110209000580

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.

Medicare Billing Reassignment

Medicare enrollment records show Marcus Ponce De Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Medical Group

11 mi

Anesthesiology

1313 BROADWAY, SUITE 200
Tacoma, WA 98402

Reassigned Medicare billing, Washington enrollment
1,526 clinicians in this Medicare group

NPI 1831358282 (253) 426-6306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.

359 services224 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.

195 services195 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

68 services66 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.

62 services48 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Highline Medical Center

Acute Care Hospitals · Burien, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500011

Location16251 Sylvester Road SWBurien, WA 98166 · King County

Emergency services Birthing friendly

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500151

Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 4

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

DR. WILLIAM CHARLES KEPPLER III M.D.

Psychiatry & Neurology (Forensic Psychiatry)

MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-6057

DR. JEFFREY SCOTT KUNZ M.D.

Internal Medicine (Interventional Cardiology)

MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

MISS BETHANY A DESCHAMPS RD

Dietitian, Registered

MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431

Pierce County (785) 239-8612

DR. KAREN T. LESNIAK PH.D.

Psychologist (Health)

MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2252

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 Marcus Ponce De Leon's NPI number?

The NPI number for Marcus Ponce De Leon is 1659417434. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Marcus Ponce De Leon located?

Marcus Ponce De Leon practices at Madigan Army Medical Ctr 9040 Jackson Avenue, Tacoma, WA 98431. The listed phone number is (253) 968-6478.

What is Marcus Ponce De Leon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marcus Ponce De Leon enrolled in Medicare?

Yes. Marcus 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.

Which organization bills Medicare for Marcus Ponce De Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Ponce De Leon reassigns Medicare benefits to Franciscan Medical Group (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcus Ponce De Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcus Ponce De Leon accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marcus 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 Marcus Ponce De Leon affiliated with any hospitals?

According to CMS data, Marcus Ponce De Leon is affiliated with Highline Medical Center, Harrison Medical Center, St Joseph Medical Center and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Marcus Ponce De Leon was last updated on October 22, 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.