2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1376577049 M.D.
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SEAN PONCE, M.D.

Addiction Medicine (Family Medicine) Physician in SALT LAKE CITY, Utah. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
74
Medicare Part D claims · Addiction Medicine (Family Medicine) Physician avg: 1K
What the federal data reveals: SEAN PONCE, M.D. is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in SALT LAKE CITY, Utah with a Medicare Part D prescribing footprint of 74 claims .

What stands out: SEAN PONCE, M.D. filed 74 Medicare Part D claims in 2023 across SALT LAKE CITY, Utah. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

SEAN PONCE, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

SEAN PONCE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/10/2006

NPI 1376577049

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

74 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

Specialty distribution in Utah

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Utah providers

Utah providers

Addiction Medicine (Family Medicine) Physician share within Utah

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within Utah

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Family Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SEAN PONCE, M.D. is a Addiction Medicine (Family Medicine) Physician provider practicing in SALT LAKE CITY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1376577049. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SEAN PONCE, M.D. appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding M.D. credentials at 3802 S 700 E, SALT LAKE CITY, UT, 84106, with a listed phone of (801) 264-6004. NPI 1376577049 was issued on 07/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PONCE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 74 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3802 S 700 E
SALT LAKE CITY, UT 84106

Provider Details

NPI 1376577049
Specialty Addiction Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/10/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

74
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
112
Total Day Supply
3,157
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
62.0 years
Avg HCC Risk Score
1.05

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Venlafaxine Hcl Er
Venlafaxine Hcl
16
Olanzapine
14
Topiramate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Addiction Medicine (Family Medicine) Physician Overview

How SEAN PONCE, M.D. fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

SEAN PONCE, M.D.'s 74 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Utah

Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as PONCE.

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEAN PONCE, M.D.'s specialty?
SEAN PONCE, M.D. specializes in Addiction Medicine (Family Medicine) Physician and practices in SALT LAKE CITY, Utah. Credentials: M.D..
How much does SEAN PONCE, M.D. prescribe under Medicare Part D?
In 2023, SEAN PONCE, M.D. wrote 74 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is SEAN PONCE, M.D. located?
SEAN PONCE, M.D. is located at 3802 S 700 E, SALT LAKE CITY, UT, 84106. Phone: (801) 264-6004.
What is SEAN PONCE, M.D.'s NPI number?
SEAN PONCE, M.D.'s National Provider Identifier (NPI) is 1376577049, issued on 07/10/2006.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does SEAN PONCE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SEAN PONCE, M.D.'s most frequently prescribed drugs include Venlafaxine Hcl Er, Olanzapine, Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEAN PONCE, M.D. accept Medicare?
SEAN PONCE, M.D. appears in CMS Medicare data with 74 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEAN PONCE, M.D.'s credentials?
SEAN PONCE, M.D.'s NPI is 1376577049 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology