Active NPI 1609961697 Individual Practitioner Male Practitioner

Dr. Guillermo P Ponce De Leon , MD

Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Guillermo Ponce De Leon, MD is a certified Surgery practicing in Houston, TX. With approximately 34 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1992, Dr. Ponce De Leon delivers high-quality medical care to the local community at 7777 SOUTHWEST FWY.

Dr. Ponce De Leon is affiliated with Southwest Surgical Associates Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include test or measurement for functional capacity, each, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7777 Southwest Fwy
Suite 810

Houston, TX 770741802

Telephone 7137721200

Fax 7137720258

Associated Practice Facility / Clinic

🏢 Diagnostic Cardiology Of Houston. P. A. Facility NPI 1558329094

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +13.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

376 Specialists

Practicing in Houston, TX (2342 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ponce De Leon (34 Years) 34 Yrs

Houston Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97750 Test or measurement for functional capacity, each 15 minutes	80	32	$70.00	$27.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$350.00	$159.73
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$150.00	$83.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$275.00	$106.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$225.00	$113.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	15	$150.00	$75.68
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$275.00	$76.52
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	23	23	$5882.61	$891.33
49650 Repair of groin hernia using an endoscope	21	21	$1666.67	$427.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$90.00	$53.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$568.78	$125.33
47562 Removal of gallbladder using an endoscope	15	15	$2100.00	$611.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97750 Test or measurement for functional capacity, each 15 minutes	58	25	$70.00	$29.49
99213 Established patient office or other outpatient visit, typically 15 minutes	49	40	$150.00	$87.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$275.00	$109.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$350.00	$161.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$327.03	$166.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	20	$225.00	$123.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$150.00	$76.01
47562 Removal of gallbladder using an endoscope	22	22	$2100.00	$615.42
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	21	21	$5100.00	$1004.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$90.00	$54.45
49650 Repair of groin hernia using an endoscope	15	15	$1866.67	$461.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	92	$275.00	$110.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	39	$225.00	$126.40
49650 Repair of groin hernia using an endoscope	29	28	$1796.55	$427.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$90.00	$54.92
47562 Removal of gallbladder using an endoscope	24	24	$2733.33	$601.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$305.00	$190.08
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$150.00	$89.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$200.00	$129.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$350.00	$163.96
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$200.00	$69.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$275.00	$110.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	40	$225.00	$126.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	17	$150.00	$68.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$308.75	$194.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$350.00	$168.99
47562 Removal of gallbladder using an endoscope	25	25	$2900.00	$608.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	11	$225.00	$101.50
49650 Repair of groin hernia using an endoscope	19	19	$2210.53	$486.47
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$150.00	$90.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$275.00	$103.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	60	$307.92	$199.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	28	$225.00	$102.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$225.00	$107.26
47562 Removal of gallbladder using an endoscope	22	22	$2900.00	$655.06
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	19	19	$275.00	$26.06
49650 Repair of groin hernia using an endoscope	19	19	$1894.74	$420.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$150.00	$71.32
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$150.00	$73.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$160.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$275.00	$105.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$293.75	$194.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$225.00	$101.25
99213 Established patient office or other outpatient visit, typically 15 minutes	51	42	$150.00	$72.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	19	$214.29	$93.99
47562 Removal of gallbladder using an endoscope	27	27	$2900.00	$593.39
49650 Repair of groin hernia using an endoscope	21	21	$2071.43	$380.32
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$197.50	$75.15
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	17	15	$275.00	$25.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$274.15	$104.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	49	$225.00	$100.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$290.48	$196.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	24	$90.00	$38.15
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$150.00	$68.59
47562 Removal of gallbladder using an endoscope	36	36	$2900.00	$594.61
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$200.00	$72.57
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	17	14	$275.00	$25.77
49650 Repair of groin hernia using an endoscope	13	13	$1846.15	$377.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$300.00	$132.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$270.90	$99.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	33	$90.00	$36.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$225.00	$98.76
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$150.00	$67.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$252.60	$187.06
47562 Removal of gallbladder using an endoscope	41	41	$2900.00	$547.96
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$200.00	$67.59
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	16	15	$275.00	$23.38
49650 Repair of groin hernia using an endoscope	16	16	$1875.00	$401.69
49585 Repair of hernia at navel (5 years or older)	14	14	$1600.00	$220.22

Medical Specialties & State Licenses

CMS Verified: 2021-06-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX J4446

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1376204-03 (TX)

Commercial Insurance / Payer ID Medicare Rr

20038447 (TX)

Commercial Insurance / Payer ID Amerigroup

1001101217 (TX)

Commercial Insurance / Payer ID Cigna

4722236 (TX)

Commercial Insurance / Payer ID Aetna

5908117 (TX)

Hospital & Practice Group Affiliations

Southwest Surgical Associates Llp

13811 Murphy Rd, Stafford, TX 774774903

Phone: 7137721200

Secondary Practice Locations

16651 Southwest Fwy Ste 360

Sugar Land, TX 774792394

Phone: 7137721200

Practice Associates & Co-Workers

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

23 Associated Practitioners

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2017

Registered at 7777 SOUTHWEST FWY, SUITE 810, HOUSTON, TX 770741802 (Tel: 7137721200)

📍

Updated Business Mailing Address September 15, 2017

Registered at 13811 MURPHY RD, STAFFORD, TX 774774903 (Tel: 7137721200)

👤

Provider Name / Credentials Updated September 15, 2017

Recorded as GUILLERMO PONCE DE LEON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Surgery (License #J4446 in TX)

✅

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 08, 2016

Registered at 7777 SOUTHWEST FWY, SUITE 810, HOUSTON, TX 770741802 (Tel: 7137721200)

📍

Updated Business Mailing Address November 08, 2016

Registered at 13811 MURPHY RD, STAFFORD, TX 774774903 (Tel: 7137721200)

👤

Provider Name / Credentials Updated November 08, 2016

Recorded as GUILLERMO PONCE DE LEON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

Surgery (License #J4446 in TX)

🟢

Initial NPI Registration & Enumeration October 04, 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: 1609961697

Entity Type:

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

Enumeration Date: October 04, 2006

Last Update: June 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13811 Murphy Rd

Stafford, TX 774774903

Phone: 7137721200

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.