DR. DAN L. PONG (MD) – Diagnostic Radiology Physician, NPI 1548605983

DR. DAN L. PONG (MD) is a healthcare provider. based in Austin, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. R4455 (TX). The NPI Number for DR. DAN L. PONG (MD) is 1548605983

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAN L. PONG (MD)
NPI
1548605983
Phone
(512) 795-5100
Address
12554 RIATA VISTA CIR
Enumeration Date
29 April 2013
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4698142000
Graduation Year
2013 (13 years ago)
PAC ID
1456640846
Group Practice PAC ID
3779578000
Professional Enrollment ID
I20190612002519
Address ID
TX750935323PL4700XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DR. DAN L. PONG (MD)

  • 12554 RIATA VISTA CIR

    AUSTIN, TX 787276431

    Phone: (512) 795-5100

    Fax: (512) 795-5122

    Type: Location

  • 4815 Alameda Ave

    El Paso, TX 799052705

    Phone: (915) 215-6000

    Fax: (915) 545-6607

    Type: Location

  • 301 UNIVERSITY BLVD

    GALVESTON, TX 775556431

    Phone: (409) 772-7150

    Fax: (409) 747-2850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $2.

Total Amount is formed as General ($2) + Research ($0) + Ownership ($0) = $2.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Sirtex Medical Inc ($2).

Total Amount

$2

General + Research + Ownership

Payments

1

Total payment records

General Amount

$2

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sirtex Medical Inc$2
View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190612002519IDiagnostic RadiologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view869817$0
70450Ct scan head or brain without contrast532525$0
70551Mri scan of brain without contrast218217$0
72125Ct scan of upper spine without contrast200200$0
70498Ct scan of blood vessels of neck with contrast175174$0
View full utilization report →

Insurance plans in this area (ZIP 78727)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779578000View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DAN L. PONG (MD)?
NPI 1548605983 is assigned to DR. DAN L. PONG (MD) under the national enumeration system.
Does this profile mean DR. DAN L. PONG (MD) is currently active?
Yes — DR. DAN L. PONG (MD) appears active in the national provider directory.
What kind of provider is DR. DAN L. PONG (MD)?
The page reflects Diagnostic Radiology Physician for DR. DAN L. PONG (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAN L. PONG (MD)?
The page summarizes Austin, Texas for DR. DAN L. PONG (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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