DR. CARLOS ROBERTO PONCE (MD) – Gastroenterology Physician, NPI 1386709707
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
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Provider Addresses for DR. CARLOS ROBERTO PONCE (MD)
North Expressway, Brownsville, Texas, 78520, United States
#303
BROWNSVILLE, TX 785264353
Phone: (956) 542-1531
Fax: (956) 542-0028
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 2 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($137).
Total Amount
$167
General + Research + Ownership
Payments
2
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Madrigal Pharmaceuticals | $137 |
| Gilead Sciences, Inc. | $30 |
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: 2007-06-04
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 |
|---|---|---|---|---|
| I20070604000632 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 76 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 42 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 78526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 33 | 28 |
| INTERNAL MEDICINE | TX | 45378 | Diagnostic examination of large bowel using an endoscope | 134 | 120 |
| INTERNAL MEDICINE | TX | 45385 | Removal of polyps or growths of large bowel using an endoscope | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| General Surgery | TX | |
| Family Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| General Surgery | TX |
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