LILIA CRISTINA PONTON MD
NPI 1659699031
Family Medicine - Geriatric Medicine in Rochester, MN

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
1650 4TH ST SE, ROCHESTER, MN 55904(507) 529-6600 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Jul 19, 2018 (2 updates tracked since 2018).

About Lilia Cristina Ponton Md NPPES

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

LILIA CRISTINA PONTON MD (NPI 1659699031) is an individual geriatric medicine provider in Rochester, Minnesota, licensed in Minnesota (61339) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Olmsted Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1659699031
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameLILIA CRISTINA PONTONCredential: MD
Location Address1650 4TH ST SERochester, MN 55904-4717
Mailing Address1650 4th St SeRochester, MN 55904-4717 · (507) 529-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 11, 2010
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1659699031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses Licensed in MN · 61339 Licensed in NY · 275317
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1650 4TH ST SE, Rochester, MN 55904

Accepted 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

Lilia Cristina Ponton Md 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 ID5294966255
PECOS Enrollment IDI20161102000002
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 13

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
172 services98 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
106 services89 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
86 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
63 services31 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
63 services43 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
57 services53 patients

Hospital Affiliations CMS Care Compare

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

Olmsted Medical Center

Acute Care Hospitals · Rochester, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240006
Location1650 Fourth Street SoutheastRochester, MN 55904 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55904 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$7.51 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$18.53 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$11.93 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers19 claims30 services$8.48 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims320 services$4.01 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,700 services$0.31 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.

Emergency Medicine
1650 4TH ST SE
ROCHESTER, MN 55904
Obstetrics & Gynecology
1650 4TH ST SE
ROCHESTER, MN 55904
Physician Assistant (Medical)
1650 4TH ST SE
ROCHESTER, MN 55904
Nurse Anesthetist, Certified Registered
1650 4TH ST SE
ROCHESTER, MN 55904
Obstetrics & Gynecology
1650 4TH ST SE
ROCHESTER, MN 55904
Nurse Anesthetist, Certified Registered
1650 4TH ST SE
ROCHESTER, MN 55904
Obstetrics & Gynecology
1650 4TH ST SE
ROCHESTER, MN 55904
Nurse Practitioner (Adult Health)
1650 4TH ST SE
ROCHESTER, MN 55904

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 Lilia Ponton's NPI number?

The NPI number for Lilia Ponton is 1659699031. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Lilia Ponton located?

Lilia Ponton practices at 1650 4th St SE, Rochester, MN 55904. The listed phone number is (507) 529-6600.

What is Lilia Ponton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Lilia Ponton enrolled in Medicare?

Yes. Lilia Ponton 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 Lilia Ponton accept?

Health plans from Medica list Lilia Ponton 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 Lilia Ponton affiliated with any hospitals?

According to CMS data, Lilia Ponton is affiliated with Olmsted Medical Center.

When was this NPI record last updated?

The NPPES record for Lilia Ponton was last updated on August 6, 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.