Physician

Ever Ivan Ponciano, M.D.

According to 2025 Medicare claims, Ever Ponciano, M.D. (NPI: 1750572012) practices internal medicine in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Washington, MD. This provider's primary affiliated billing organization is PRIMARY CARE ASSOCIATES OF HAGERSTOWN, LLC (NPI: 1083803530; TIN: 52-1197738) and primary practice location at 21740-6138. Ponciano is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Ponciano's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 690 traditional Medicare patients, billed 5,598 HCPCS/CPT codes, and received $259,496 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,463 prescription claims across 888 beneficiaries totaling $986,983 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 83 claims. Open Payments data shows 11 records totaling $215. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing started with an early spike, then settled into a lower baseline, moving from $391,703 to $259,496. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $18,543 to $6,892.