DR. RAFAEL ANDRES PONCE TERASHIMA MD
NPI 1962720326
Internal Medicine - Infectious Disease in Macon, GA

Q: What is Rafael Ponce Terashima's NPI number?

The NPI number for Rafael Ponce Terashima is 1962720326. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Q: What is Rafael Ponce Terashima's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment

707 PINE ST, MACON, GA 31201(478) 301-5800(478) 301-5812 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Rafael Andres Ponce Terashima Md NPPES

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

DR. RAFAEL ANDRES PONCE TERASHIMA MD (NPI 1962720326) is an individual infectious disease provider in Macon, Georgia, licensed in Georgia (070409) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1962720326

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. RAFAEL ANDRES PONCE TERASHIMACredential: MD

Location Address707 PINE STMacon, GA 31201-2106

Mailing Address250 Martin Luther King Jr BlvdMacon, GA 31201 · (478) 301-2362 · Fax (478) 301-2272

Phone(478) 301-5800

Fax(478) 301-5812

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 11, 2010

Last NPPES UpdateFebruary 20, 2019

✔ NPI 1962720326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in GA · 070409

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 430109038 (MI), 070409 (GA)

707 PINE ST, Macon, GA 31201

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Other Identifiers 1

Medicaid003136039GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Rafael Andres Ponce Terashima Md 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 ID5799926044

PECOS Enrollment IDI20130729000673

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

104 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

79 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

58 services56 patients

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.

36 services23 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.

17 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 5

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

DOUGLAS PAUL FARMAN M.D.

Internal Medicine (Pulmonary Disease)

707 PINE ST
MACON, GA 31201

Bibb County (478) 301-5801

DR. MARIELA MINERVA MOLERO M.D., PH.D.

Internal Medicine

707 PINE ST
MACON, GA 31201

Bibb County (478) 301-5824

JENNIFER C HOFFMAN M.D.

Internal Medicine (Infectious Disease)

707 PINE ST
MACON, GA 31201

Bibb County (478) 301-5800

JUSTIN THOMAS ERTLE MD

Internal Medicine

707 PINE ST
MACON, GA 31201

Bibb County (478) 301-5820

DR. GEORGE ALLEN TINDOL JR. M.D.

Internal Medicine

707 PINE ST
MACON, GA 31201

Bibb County (478) 301-5800

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 Rafael Ponce Terashima's NPI number?

The NPI number for Rafael Ponce Terashima is 1962720326. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Rafael Ponce Terashima located?

Rafael Ponce Terashima practices at 707 Pine St, Macon, GA 31201. The listed phone number is (478) 301-5800.

What is Rafael Ponce Terashima's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Rafael Ponce Terashima enrolled in Medicare?

Yes. Rafael Ponce Terashima 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.

What insurance does Rafael Ponce Terashima accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Rafael Ponce Terashima 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 Rafael Ponce Terashima affiliated with any hospitals?

According to CMS data, Rafael Ponce Terashima is affiliated with Houston Healthcare and Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Ponce Terashima was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.