DR. PAUL J PONCZA D.D.S.
NPI 1679652382
Dentist - General Practice in Skokie, IL

Q: What is Paul Poncza's NPI number?

The NPI number for Paul Poncza is 1679652382. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Paul Poncza's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Paul Poncza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 03, 2006PECOS Enrolled

9933 LAWLER AVE STE 340, SKOKIE, IL 60077(847) 677-2808 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Paul J Poncza D.d.s. NPPES

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

DR. PAUL J PONCZA D.D.S. (NPI 1679652382) is an individual general practice provider in Skokie, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Detroit Mercy School Of Dentistry (2004).

NPPES Registry Identity

NPI1679652382

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PAUL J PONCZACredential: D.D.S.

Location Address9933 LAWLER AVE STE 340Skokie, IL 60077-3773

Mailing Address9933 Lawler Ave Ste 340Skokie, IL 60077-3773 · (847) 677-2808

Phone(847) 677-2808

Sole ProprietorNo

Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2004

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679652382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9933 LAWLER AVE STE 340, Skokie, IL 60077

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul J Poncza D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527238369

PECOS Enrollment IDI20240523002719

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 Reassignments

Medicare enrollment records show Paul Poncza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smile On Of North Shore, PC

7.9 mi

Customized Equipment

707 LAKE COOK RD., SUITE 121
Deerfield, IL 60015

Reassigned Medicare billing, Illinois enrollment

NPI 1891264644 (224) 282-8939

Paul Poncza DDS PC

9.5 mi

Durable Medical Equipment & Medical Supplies

1350 W BELMONT AVE, SUITE 1
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment

NPI 1275829509 (773) 525-5545

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60077 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 2

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

DAVID B. SCHWARTZ DDS LTD

Dentist (General Practice)

9933 LAWLER AVE STE 340
SKOKIE, IL 60077

Cook County (847) 677-2808

DR. DAVID B. SCHWARTZ D.D.S LTD

Dentist (General Practice)

9933 LAWLER AVE STE 340
SKOKIE, IL 60077

Cook County (847) 677-2808

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 Paul Poncza's NPI number?

The NPI number for Paul Poncza is 1679652382. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Paul Poncza located?

Paul Poncza practices at 9933 Lawler Ave Ste 340, Skokie, IL 60077. The listed phone number is (847) 677-2808.

What is Paul Poncza's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Poncza enrolled in Medicare?

Yes. Paul Poncza is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Poncza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Poncza reassigns Medicare benefits to 2 organizations: Smile On Of North Shore, PC (Deerfield, IL) and Paul Poncza DDS PC (Chicago, IL). Each 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 Paul Poncza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Poncza accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 4 other insurers list Paul Poncza 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 Paul Poncza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.