Dr. Anibal Ponce, MD
71 Hospital Ave, North Adams, MA 01247 • +1-650-555-7454
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & North Adams Percentiles
NPI #1902857915 • CBSA Regional • Emergency Medicine
Operating out of North Adams, MA (71 Hospital Ave), Emergency Medicine clinician Dr. Anibal Ponce, MD (accredited MD/DO training, 1995) maintains a focused low-volume boutique caseload (0th North Adams percentile) (31.35th MA percentile; Z-score -0.32σ across 772 documented services) with sub-specialty concentration in 14 Active CMS HCPCS Codes.
Dr. Ponce's longitudinal care intensity (6.1 billed units per patient across 126 individuals) centers on 99214 (347 annual units) and 99213 ($47–$65 cash range).
Direct cash-pay transparency modeling sets Dr. Ponce's baseline new-consult rate near $224.00 in North Adams, MA (cash-pay accepted, in-person clinic visits only, 12-minute average reception wait).
NPI registry verification (#1902857915) confirms Dr. Anibal Ponce's MD standing serving CBSA 01247 with a 4.61/5 patient scorecard.
Compared against North Adams, MA Emergency Medicine peers
772 annual services across 126 beneficiaries
Standard deviations from MA Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 347 | 12th | $62 – $84 |
| 99213 | Established Preventive & Chronic Care Visit | 201 | 12th | $47 – $65 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 100 | 12th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 77 | 12th | $72 – $99 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 46 | 12th | $86 – $117 |
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Dr. Anibal Ponce, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ponce National Provider Identifier | NPI #1902857915 (MD) | CMS NPPES Registry (01247) |
| Dr. Ponce North Adams CMS Volume Rank | 0.00th Pct (772 CMS svcs; Z -0.319σ) | CMS Medicare Part B (MA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (North Adams, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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