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ALEJANDRA PONCE D.O.
NPI 1740549237
Internal Medicine in Brownsville, TX

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2449 BOCA CHICA BLVD STE A, BROWNSVILLE, TX 78521(956) 350-2973 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2022, Sep 18, 2016, Aug 10, 2016 (3 updates tracked since 2016).

About Alejandra Ponce D.o. NPPES

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

ALEJANDRA PONCE D.O. (NPI 1740549237) is an individual internal medicine provider in Brownsville, Texas, licensed in Texas (Q8124) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Valley Baptist Medical Center- Brownsville, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2012).

NPPES Registry Identity

NPI1740549237
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEJANDRA PONCECredential: D.O.
Location Address2449 BOCA CHICA BLVD STE ABrownsville, TX 78521-2368
Mailing Address2449 Boca Chica Blvd Ste ABrownsville, TX 78521-2368 · (956) 350-2973
Phone(956) 350-2973
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2012
Enumeration DateMay 3, 2012
Last NPPES UpdateMay 5, 20223 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1740549237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q8124
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2449 BOCA CHICA BLVD STE A, Brownsville, TX 78521
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alejandra Ponce D.o. 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 ID6204145964
PECOS Enrollment IDI20160712000693
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 Alejandra Ponce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ponce Medical, PLLC
0.1 mi
Internal Medicine
2449 BOCA CHICA BLVD STE A
Brownsville, TX 78521
  • Reassigned Medicare billing, Texas enrollment
NPI 1386092617 (956) 350-2973

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 3

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 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.
145 services36 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
58 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450662
Location100 A Alton GloorBrownsville, TX 78526 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78521 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.55
Improvement Activities40
Cost98.01

Reported Quality Measures

Breast Cancer Screening
81%291 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
67%368 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
63%471 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
55%293 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%197 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,431 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

PONCE MEDICAL, PLLC
Internal Medicine
2449 BOCA CHICA BLVD STE A
BROWNSVILLE, TX 78521
Cameron County (956) 350-2973

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 Alejandra Ponce's NPI number?

The NPI number for Alejandra Ponce is 1740549237. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Alejandra Ponce located?

Alejandra Ponce practices at 2449 Boca Chica Blvd Ste A, Brownsville, TX 78521. The listed phone number is (956) 350-2973.

What is Alejandra Ponce's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alejandra Ponce enrolled in Medicare?

Yes. Alejandra Ponce 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 Alejandra Ponce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alejandra Ponce reassigns Medicare benefits to Ponce Medical, PLLC (Brownsville, TX). 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 Alejandra Ponce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alejandra Ponce accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Alejandra Ponce 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 Alejandra Ponce affiliated with any hospitals?

According to CMS data, Alejandra Ponce is affiliated with Valley Baptist Medical Center- Brownsville, Valley Regional Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Alejandra Ponce was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.