MARTA REGINA PONCE CONTRERAS M.D.
NPI 1942363437
Ophthalmology in River Edge, NJ

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
98.94/100
CMS Quality Rating
1060 MAIN ST, SUITE 301, RIVER EDGE, NJ 07661(201) 489-0096(201) 488-2930 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marta Regina Ponce Contreras M.d. NPPES

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

MARTA REGINA PONCE CONTRERAS M.D. (NPI 1942363437) is an individual ophthalmology provider in River Edge, New Jersey, licensed in New Jersey (25MA08184500) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1942363437
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARTA REGINA PONCE CONTRERASCredential: M.D.
Location Address1060 MAIN ST, SUITE 301River Edge, NJ 07661-2591
Mailing Address15 Column CtRamsey, NJ 07446-2002 · (201) 818-2034 · Fax (973) 472-4835
Fax(201) 488-2930
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 18, 2006
Last NPPES UpdateMay 23, 2012
NPI 1942363437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA08184500
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1060 MAIN ST, River Edge, NJ 07661

Other Identifiers 8

Other7044084NJ · Cigna
Other454509813NJ · Magnacare
Other387749500NJ · Amerihealth
OtherP4464080NJ · Oxford
Other454509813NJ · United Healthcare
Medicare PIN239215NJ
Other11774599NJ · Anthem
Other7223970NJ · Aetna

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

Marta Regina Ponce Contreras 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 ID9537262282
PECOS Enrollment IDI20070316000443
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
520 services375 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
436 services245 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
268 services209 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
260 services208 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
246 services181 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
237 services174 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07661 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

98.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.88
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%180 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,681 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%737 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%30 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 782 patients
Patients totalRate: 0% · 782 patients
0%782 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 19

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1060 MAIN ST, SUITE 100
RIVER EDGE, NJ 07661
Dentist (General Practice)
1060 MAIN ST, SUITE 100
RIVER EDGE, NJ 07661
Preferred Provider Organization
1060 MAIN ST, SUITE 100
RIVER EDGE, NJ 07661
Social Worker (Clinical)
1060 MAIN ST
RIVER EDGE, NJ 07661
Dentist (General Practice)
1060 MAIN ST, SUITE 100
RIVER EDGE, NJ 07661
Occupational Therapist
1060 MAIN ST
RIVER EDGE, NJ 07661
Community Health Worker
1060 MAIN ST, SUITE 302
RIVER EDGE, NJ 07661
Physical Medicine & Rehabilitation
1060 MAIN ST
RIVER EDGE, NJ 07661

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 Marta Ponce Contreras's NPI number?

The NPI number for Marta Ponce Contreras is 1942363437. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Marta Ponce Contreras located?

Marta Ponce Contreras practices at 1060 Main St Suite 301, River Edge, NJ 07661. The listed phone number is (201) 489-0096.

What is Marta Ponce Contreras's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marta Ponce Contreras enrolled in Medicare?

Yes. Marta Ponce Contreras 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.

When was this NPI record last updated?

The NPPES record for Marta Ponce Contreras was last updated on May 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.