AVA MADISON PONTO (PA-C) – Physician Assistant, NPI 1255084257
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for AVA MADISON PONTO (PA-C)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 463213530
Phone: (219) 595-0043
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $568.
Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Almatica Pharma LLC ($96).
Total Amount
$568
General + Research + Ownership
Payments
26
Total payment records
General Amount
$568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220609000974 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 34 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 15 | $0 |
Insurance plans in this area (ZIP 46321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| Psychiatry, Addiction Medicine | IN | |
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IL | |
| Clinical Psychologist | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN |
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