Active NPI 1124093737 Individual Practitioner Male Practitioner

Dr. Kenneth Wayne Ponder , MD

Internal Medicine • Niceville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Ponder, MD is a registered healthcare professional specializing in Internal Medicine in Niceville, FL. Practice services are available at 4566 E HIGHWAY 20 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, blood test, lipids (cholesterol and triglycerides). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4566 E Highway 20
Ste 103

Niceville, FL 325788838

Telephone 8508971223

Fax 8508971237

Associated Practice Facility / Clinic

🏢 Karen Henard Benhamron, D.c. Facility NPI 1922045871

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Niceville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.8 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Niceville, FL (10650 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	648	229	$129.00	$107.74
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	298	148	$50.00	$41.33
80061 Blood test, lipids (cholesterol and triglycerides)	144	92	$35.00	$13.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	137	26	$10.00	$2.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	136	26	$35.00	$14.08
99336 Established patient assisted living visit, typically 40 minutes	133	45	$145.00	$135.88
99213 Established patient office or other outpatient visit, typically 15 minutes	133	92	$95.00	$72.67
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	119	63	$99.00	$83.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$129.00	$114.58
G0008 Administration of influenza virus vaccine	97	95	$30.00	$16.56
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	75	25	$160.00	$108.38
99335 Established patient assisted living visit, typically 25 minutes	72	38	$99.00	$96.33
83036 Hemoglobin A1C level	70	45	$29.00	$9.51
82947 Blood glucose (sugar) level	52	39	$21.00	$3.91
90662 Influenza vaccine split virus, preservative free	52	51	$60.00	$59.61
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	45	$30.00	$19.58
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	44	22	$45.00	$37.05
81003 Automated urinalysis test	42	27	$18.00	$2.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	31	$189.00	$146.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$189.00	$168.49
99442 Telephone medical discussion with physician, 11-20 minutes	24	23	$90.00	$72.10
99337 Established patient assisted living visit, typically 60 minutes	18	13	$199.00	$196.55
93000 Routine ekg using at least 12 leads including interpretation and report	14	11	$90.00	$16.98
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	11	11	$70.00	$62.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	715	239	$129.00	$106.77
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	316	167	$50.00	$41.04
99213 Established patient office or other outpatient visit, typically 15 minutes	207	129	$95.00	$73.13
99336 Established patient assisted living visit, typically 40 minutes	189	62	$145.00	$135.91
80061 Blood test, lipids (cholesterol and triglycerides)	173	100	$35.00	$14.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	169	23	$35.00	$16.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	167	23	$10.00	$1.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$129.00	$114.26
G0008 Administration of influenza virus vaccine	122	122	$30.00	$16.24
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	121	65	$99.00	$82.46
83036 Hemoglobin A1C level	107	48	$29.00	$10.48
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	103	27	$160.00	$107.32
99335 Established patient assisted living visit, typically 25 minutes	99	42	$99.00	$95.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	76	35	$49.00	$16.22
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	70	70	$30.00	$17.23
90662 Influenza vaccine split virus, preservative free	53	53	$60.00	$54.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	36	$189.00	$144.27
81003 Automated urinalysis test	50	31	$18.00	$2.44
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	48	48	$70.00	$60.63
82947 Blood glucose (sugar) level	39	30	$21.00	$4.28
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	38	24	$100.00	$89.73
85018 Blood count, hemoglobin	36	24	$15.00	$2.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$189.00	$150.61
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	21	21	$199.00	$187.18
99337 Established patient assisted living visit, typically 60 minutes	20	18	$199.00	$194.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$189.00	$160.25
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$90.00	$16.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$145.00	$107.64
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	14	13	$65.00	$60.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	716	224	$129.00	$110.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	485	173	$50.00	$43.86
99213 Established patient office or other outpatient visit, typically 15 minutes	253	144	$95.00	$74.90
99336 Established patient assisted living visit, typically 40 minutes	234	69	$145.00	$142.40
80061 Blood test, lipids (cholesterol and triglycerides)	233	129	$35.00	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	210	29	$35.00	$20.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	199	28	$10.00	$1.95
99335 Established patient assisted living visit, typically 25 minutes	156	60	$99.00	$99.47
G0008 Administration of influenza virus vaccine	153	153	$30.00	$19.91
83036 Hemoglobin A1C level	121	49	$29.00	$11.75
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	91	23	$160.00	$113.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$129.00	$122.77
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	83	48	$100.00	$96.08
90662 Influenza vaccine split virus, preservative free	83	83	$60.00	$52.30
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	71	71	$30.00	$17.48
81003 Automated urinalysis test	60	39	$18.00	$2.67
87804 Detection test by immunoassay with direct visual observation for influenza virus	58	27	$49.00	$16.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$189.00	$181.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	35	$189.00	$151.45
82947 Blood glucose (sugar) level	44	30	$21.00	$4.75
85018 Blood count, hemoglobin	37	19	$15.00	$2.87
99337 Established patient assisted living visit, typically 60 minutes	33	22	$199.00	$204.10
93000 Routine ekg using at least 12 leads including interpretation and report	28	25	$90.00	$17.60
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	21	21	$70.00	$65.80
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	21	14	$55.00	$47.86
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$19.91
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	16	16	$199.00	$196.37
80305 Testing for presence of drug, read by direct observation	13	11	$25.00	$13.19
90670 Pneumococcal vaccine for injection into muscle	12	12	$199.00	$193.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	651	219	$129.00	$116.62
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	423	165	$50.00	$46.78
99213 Established patient office or other outpatient visit, typically 15 minutes	321	143	$95.00	$79.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	295	37	$35.00	$27.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	261	35	$10.00	$2.95
80061 Blood test, lipids (cholesterol and triglycerides)	245	133	$35.00	$17.41
99336 Established patient assisted living visit, typically 40 minutes	239	75	$145.00	$149.65
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	235	235	$70.00	$69.19
99335 Established patient assisted living visit, typically 25 minutes	134	62	$99.00	$103.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	130	130	$30.00	$17.48
G0008 Administration of influenza virus vaccine	130	130	$30.00	$24.61
83036 Hemoglobin A1C level	117	51	$29.00	$13.05
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	76	39	$100.00	$101.63
81003 Automated urinalysis test	65	43	$18.00	$2.98
82570 Creatinine level to test for kidney function or muscle injury	59	41	$53.00	$6.85
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$189.00	$194.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$129.00	$131.57
85018 Blood count, hemoglobin	48	24	$15.00	$3.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	36	$189.00	$158.09
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	41	20	$160.00	$120.84
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	32	17	$55.00	$51.01
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	32	32	$199.00	$205.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$55.00	$47.26
82947 Blood glucose (sugar) level	29	23	$21.00	$7.03
G0009 Administration of pneumococcal vaccine	26	26	$30.00	$24.61
99337 Established patient assisted living visit, typically 60 minutes	26	21	$199.00	$214.55
93000 Routine ekg using at least 12 leads including interpretation and report	24	19	$90.00	$18.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$150.00	$52.21
90670 Pneumococcal vaccine for injection into muscle	21	21	$199.00	$183.93
69210 Removal of impacted ear wax	19	16	$75.00	$54.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$189.00	$181.12

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL 0063310

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License Number

ME0063310 (FL)

Commercial Insurance / Payer ID Ama

001029111646

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. William Abernathy , MD

Internal Medicine

NPI 1316961881

Doctor of Medicine (M.D.)

Dr. Karen Carter , DC

Chiropractor

NPI 1326040452

Doctor of Chiropractic

Catherine O'connell , ARNP

Nurse Practitioner - Pediatrics

NPI 1386711885

Advanced Registered Nurse Practitioner

James Smith , PA

Physician Assistant

NPI 1568886406

Physician Assistant

Janeal Musser , ARNP-C

Nurse Practitioner - Primary Care

NPI 1588103949

ARNPC

Dr. Thomas Mcknight , MD

Family Medicine

NPI 1679554422

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4566 E HIGHWAY 20, STE 103, NICEVILLE, FL 325788838 (Tel: 8508971223)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4566 E HIGHWAY 20, STE 103, NICEVILLE, FL 325788838 (Tel: 8508971223)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH PONDER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #0063310 in FL)

🟢

Initial NPI Registration & Enumeration February 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124093737

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 18, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4566 E Highway 20, Ste 103

Niceville, FL 325788838

Phone: 8508971223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.