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ANIBAL FERNANDO PONCE M.D.
NPI 1902857915
Emergency Medicine in North Adams, MA

Active since May 15, 2006PECOS Enrolled
71 HOSPITAL AVE, NORTH ADAMS, MA 01247(413) 664-5256 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anibal Fernando Ponce M.d. NPPES

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

ANIBAL FERNANDO PONCE M.D. (NPI 1902857915) is an individual emergency medicine provider in North Adams, Massachusetts, licensed in Massachusetts (72959) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902857915
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANIBAL FERNANDO PONCECredential: M.D.
Location Address71 HOSPITAL AVENorth Adams, MA 01247-2504
Mailing Address71 Hospital AveNorth Adams, MA 01247-2504 · (413) 664-5256
Phone(413) 664-5256
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateSeptember 28, 2007
✔ NPI 1902857915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 72959
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
71 HOSPITAL AVE, North Adams, MA 01247
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Other Identifiers 3

Medicare UPINF30128MA
Medicare ID-Type UnspecifiedJ12630MA
OtherJ12630Bxbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anibal Fernando Ponce M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Anibal Ponce reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Adams Regional Hospital Corporation
Same address
Critical Access
71 HOSPITAL AVE
North Adams, MA 01247
  • Reassigned Medicare billing, Massachusetts enrollment
  • 186 clinicians in this Medicare group
NPI 1437839669 (413) 447-2000
Berkshire Medical Center, Inc
19 mi
General Acute Care Hospital
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 394 clinicians in this Medicare group
NPI 1295765261 (413) 447-2000
Berkshire Faculty Services Inc
19 mi
Multi-Specialty
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 405 clinicians in this Medicare group
NPI 1548212939 (413) 447-2752

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 7

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.

Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
198 services16 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.
192 services64 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
174 services50 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.
55 services42 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
50 services33 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.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01247 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

DOUGLAS B ONEILL MD
Internal Medicine
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-5710
MRS. JENNIFER RANCOURT CIVELLO MA CTTS
Specialist
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-5567
JENNIFER D. PEET P.A.
Physician Assistant
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-5256
PATTI MILLER M.D.
Hospitalist
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-5000
DR. MICHELLE M BEDARD NP
Nurse Practitioner (Acute Care)
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-4088
KATIE L. THURBER MS, PA-C
Physician Assistant
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-5710
NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS GROUP
Obstetrics & Gynecology
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-4343
MR. RITA JEAN LONGWORTH RD
Dietitian, Registered
71 HOSPITAL AVE
NORTH ADAMS, MA 01247
Berkshire County (413) 664-5263

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 Anibal Ponce's NPI number?

The NPI number for Anibal Ponce is 1902857915. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Anibal Ponce located?

Anibal Ponce practices at 71 Hospital Ave, North Adams, MA 01247. The listed phone number is (413) 664-5256.

What is Anibal Ponce's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anibal Ponce enrolled in Medicare?

Yes. Anibal Ponce is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anibal Ponce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anibal Ponce reassigns Medicare benefits to 3 organizations: North Adams Regional Hospital Corporation (North Adams, MA), Berkshire Medical Center, Inc (Pittsfield, MA) and Berkshire Faculty Services Inc (Pittsfield, MA). 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 Anibal Ponce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anibal Ponce was last updated on September 28, 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.