NPI registry status
Active
2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1376577049 M.D.
Verify on CMS → Sean Ponce, M.D.
Addiction Medicine (Family Medicine) Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 799 in Addiction Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
71
Medicare Part D claims · Addiction Medicine (Family Medicine) Physician avg: 1K
What the federal data shows
Sean Ponce, M.D. filed 71 Medicare Part D claims in 2024 as an Addiction Medicine (Family Medicine) Physician in Salt Lake City, Utah.
- 71
- Part D claims, 2024
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Sean Ponce, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1376577049), first enumerated 07/10/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 71 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Ponce with other Addiction Medicine (Family Medicine) Physician providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Utah
- Dr. Lawrence Astle, M.D. Provo, UT
- Dr. Robert Bush, M.D. Provo, UT
- Dr. Daniel Cummings, M.D. Provo, UT
- Dr. Jacob Darnell, DO Salt Lake City, UT
- Dr. Patrick Green, M.D. Tooele, UT
- Amir Haskic Salt Lake City, UT
Other specialties in Salt Lake City: Case Manager/Care Coordinator (1,971) · Student in an Organized Health Care Education/Training Program (1,718) · Community Health Worker (1,661) · Behavior Technician (1,240)
CMS NPPES provider registry desk
NPI 1376577049 · Addiction Medicine (Family Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1376577049
- ENUM-LEGACY 2006
- TAX-NARROW 799
- RX-TRACE 71
- BOOK-THIN 11 in Utah
- PHOTO-ENUM Laurie Poss, M.D. · 2006
Sean Ponce, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
71 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
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).
What does the federal data show about Sean Ponce, M.D.?
Quality data not reportedPrimary specialty
Addiction Medicine (Family Medicine) Physician
Medicare Part D claims
71 94% vs specialty avg
Specialty distribution in Utah
How Addiction Medicine (Family Medicine) Physician compares to other specialties among Utah providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Addiction Medicine (Family Medicine) Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
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 2024.
71
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 137.667
- Total Day Supply
- 3,871
- Generic Drug Cost
- $915
Patient Demographics
- Average Patient Age
- 66.9 years
- Avg HCC Risk Score
- 0.82
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Venlafaxine Hcl Er Venlafaxine Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Family Medicine) Physician in UT →
All providers in Utah →
Compare specialties →
Addiction Medicine (Family Medicine) Physician Overview
How Sean Ponce, M.D. fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.
799
Addiction Medicine (Family Medicine) Physician Providers in US
49
States with Addiction Medicine (Family Medicine) Physician
1,187
Avg Claims per Provider
Sean Ponce, M.D.'s 71 claims are below the specialty average of 1,187.
Nationwide Addiction Medicine (Family Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ponce, both outside Utah so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 11 Addiction Medicine (Family Medicine) Physician providers enrolled in Utah, 10 are shown on this page.
Bridget Quintanilla
FNP-S
St George, UT
Dr. Terrell Sellers
M.D
Midway, UT
Dr. Charles Walton
MD
Highland, UT
Cuicui Zhang
APRN
Sandy, UT
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 2024, Sean Ponce, M.D. wrote 71 Medicare Part D claims totaling $2K 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 799 Addiction Medicine (Family Medicine) Physician providers across 49 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,187 Medicare Part D claims per year.
What drugs does Sean Ponce, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sean Ponce, M.D.'s most frequently prescribed drugs include Venlafaxine Hcl Er. 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 71 Part D claims and N/A Medicare beneficiaries in 2024. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.