What is Guillermo Ponce De Leon's specialty?

Guillermo Ponce De Leon (NPI 1609961697) is a Medicare-billing provider whose primary specialty is General Surgery in Houston, TX.

Where does Guillermo Ponce De Leon practice?

Guillermo Ponce De Leon practices in Houston, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1609961697.

How much does Medicare pay Guillermo Ponce De Leon?

Guillermo Ponce De Leon (NPI 1609961697) received approximately $94K in total Medicare Part B payments, serving 207 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1609961697

Guillermo Ponce De LeonM.D.

General SurgeryHouston, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

338

Unique beneficiaries

—

Total services

419

Distinct HCPCS

Medicare payment

$54K

Peer benchmark

Total Medicare services vs. 1,477 General Surgery providers in TX — top quintile (cohort median 212).

PRESCRIBING · PART D · 2024

Total Rx claims

196

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

80.6%

Top prescribed drugs

Acetaminophen With Codeine158 claims

Tramadol Hcl26 claims

Clindamycin Hcl12 claims

QUALITY · MIPS · 2024

Final MIPS score

90.1

Quality

85.0

Cost

83.7

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.64%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$400

Top paying entities

Food and Beverage$2K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$400

REFERRAL NETWORK

Where Guillermo Ponce De Leon's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 11 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
METHODIST HEALTH CENTERS	101	311
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	61	236
MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL, LLP	58	156
HISEY, MADISON	57	136
MEMORIAL HERMANN HEALTH SYSTEM	27	74
Larissa Miller Physician Assistant · Sugar Land, TX	26	63
Robert Malone Diagnostic Radiology · Houston, TX	15	30
Bhagwat Patel Internal Medicine · Sugar Land, TX	14	44
Ognjen Kosarac Pathology · Houston, TX	12	29
William Velasquez Medical Oncology · Houston, TX	11	47
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	11	32

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events