Mario Ponce Alvarez, M.D.
NPI 1386930105 · Pulmonary Disease Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Ponce Alvarez, M.D. is a Pulmonary Disease Physician provider in Atlanta, GA (NPI 1386930105).
Provider details
- NPI number
- 1386930105
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 79284 (GA)
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
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
147 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 76 | $208 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 49 | $116 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 11 | $131 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 11 | $128 |
Typical Medicare-allowed amounts for these services range $116–$208 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 22 | 12 |
| Glycopyrrolate/Formoterol Fumbrand: Bevespi Aerosphere | 22 | — |
| Umeclidinium Bromidebrand: Incruse Ellipta | 18 | — |
| Albuterol Sulfatebrand: Ventolin Hfa | 18 | — |
| Prednisone | 15 | — |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (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
Registry dates
- Enumerated
- 2011-06-20
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Mario Ponce Alvarez's NPI number?
- Mario Ponce Alvarez's National Provider Identifier (NPI) is 1386930105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Ponce Alvarez's specialty?
- Mario Ponce Alvarez is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Ponce Alvarez located?
- Mario Ponce Alvarez's practice location on file with NPPES is 720 Westview Dr Sw, Atlanta, GA 30310-1458.
- What is Mario Ponce Alvarez's phone number?
- The practice phone number listed in the NPPES registry for Mario Ponce Alvarez is (404) 752-1500.
- Does Mario Ponce Alvarez accept Medicare?
- Mario Ponce Alvarez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Ponce Alvarez's NPI active?
- Yes — Mario Ponce Alvarez's NPI (1386930105) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.