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LISA R PONFICK MD
NPI 1962416255
Psychiatry & Neurology - Psychiatry in Fort Collins, CO

Active since July 29, 2006PECOS Enrolled
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Jul 24, 2024, Feb 27, 2020 (3 updates tracked since 2020).

About Lisa R Ponfick Md NPPES

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

LISA R PONFICK MD (NPI 1962416255) is an individual psychiatry provider in Fort Collins, Colorado, licensed in Colorado (DR.0071115) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962416255
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameLISA R PONFICKCredential: MD
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Phone(970) 494-4200
Fax(844) 270-1824
Sole ProprietorNo
Enumeration DateJuly 29, 2006
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1962416255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CO · DR.0071115
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4856 INNOVATION DR, Fort Collins, CO 80525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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)

Lisa R Ponfick Md 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 Reassignment

Medicare enrollment records show Lisa Ponfick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summitstone Health Partners
Same address
Mental Health (Including Community Mental Health Center)
4856 INNOVATION DR
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1225873136 (970) 494-4200

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 80525 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 20

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

KOKI ADACHI BA
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. JOSEPH MESSER PHARMD
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ANDREA STRAYER LCSW, CAC II, MSW
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
AMANDA MURRY M.ED.
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LIZBETT GARCIA
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MORGAN RICE CAT
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ELISSA STILWELL
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
EMILY LAU
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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 Lisa Ponfick's NPI number?

The NPI number for Lisa Ponfick is 1962416255. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Lisa Ponfick located?

Lisa Ponfick practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Lisa Ponfick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lisa Ponfick enrolled in Medicare?

Yes. Lisa Ponfick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Ponfick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ponfick reassigns Medicare benefits to Summitstone Health Partners (Fort Collins, CO). 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 Lisa Ponfick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Ponfick accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Select Health list Lisa Ponfick 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 Lisa Ponfick was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.