Franklin Ponce Herrera, MD
NPI 1265849442 · Nephrology Physician · Mcallen, TX
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Franklin Ponce Herrera, MD is a Nephrology Physician provider in Mcallen, TX (NPI 1265849442).
Provider details
- NPI number
- 1265849442
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- S0776 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,619 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hemodialysis Procedure With Physician Evaluation90935 | 341 | $67 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 312 | $336 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 225 | $75 |
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 163 | $278 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 160 | $91 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 119 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 64 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Telmisartan | 379 | 156 |
| Nifedipinebrand: Nifedipine Er | 310 | 123 |
| Parenteral Amino Acid 20% No.1brand: Prosol | 287 | 12 |
| Semaglutidebrand: Ozempic | 249 | 54 |
| Sevelamer Carbonate | 231 | 95 |
| Patiromer Calcium Sorbitexbrand: Veltassa | 180 | 49 |
| Sucroferric Oxyhydroxidebrand: Velphoro |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,335 across 153 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 703 Main StPaterson, NJ 07503-2621Phone: (973) 754-2000
Registry dates
- Enumerated
- 2014-07-19
- Last updated
- 2025-06-15
- Certified
- 2025-06-15
Frequently asked questions
- What is Franklin Ponce Herrera's NPI number?
- Franklin Ponce Herrera's National Provider Identifier (NPI) is 1265849442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Franklin Ponce Herrera's specialty?
- Franklin Ponce Herrera is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Franklin Ponce Herrera located?
- Franklin Ponce Herrera's practice location on file with NPPES is 409 Lindberg Ave, Mcallen, TX 78501-2921.
- What is Franklin Ponce Herrera's phone number?
- The practice phone number listed in the NPPES registry for Franklin Ponce Herrera is (956) 682-1508.
- Does Franklin Ponce Herrera accept Medicare?
- Franklin Ponce Herrera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Franklin Ponce Herrera's NPI active?
- Yes — Franklin Ponce Herrera's NPI (1265849442) is active in the NPPES registry as of the last update on 2025-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.