Doctor profile · Federal record
Dr. Stephanie Pongracz, PA
Surgical Physician Assistant (CMS: Physician Assistant) · Santa Monica, CA
- NPI 1508172016
- Accepts Medicare
- MIPS 84.1 / 100 · 2023
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2020 Santa Monica Blvd, Suite 400
Santa Monica, CA 904042023
(310) 928-2663
fax (310) 315-2198 - Mailing address
-
1658 Camden Ave, No 105
Los Angeles, CA 900257548
Credentials & registration
- NPI registered
- August 2010 — 16 yrs on file
- Profile last updated
- December 9, 2014
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- California #PA20968
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508172016. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
801
Distinct HCPCS
10
Medicare allowed
$46,373
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
73030 |
X-ray of shoulder, minimum of 2 views | 212 | 195 | $34 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 196 | 58 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 78 | 72 | $85 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 73 | 71 | $120 | |
20610 |
Aspiration and/or injection of fluid from large joint | 60 | 58 | $63 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 54 | 54 | $105 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $155 | |
73564 |
X-ray of knee, 4 or more views | 43 | 33 | $47 | |
29827 |
Repair of shoulder rotator cuff using an endoscope | 24 | 24 | $159 | |
29828 |
Release of tendon connecting biceps muscle and shoulder using an endoscope | 17 | 17 | $78 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 80. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$33
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| DePuy Synthes Sales Inc. | 2 | $32.81 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
77
Patients
77
Total drug cost
$597
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 23 | 23 | $52 |
| Doxycycline Monohydrate | Generic | 15 | 15 | $161 |
| Tramadol Hcl | Generic | 15 | 15 | $49 |
| Cephalexin | Generic | 13 | 13 | $56 |
| Diclofenac Sodium | Generic | 11 | 11 | $279 |
Frequently asked questions
What is Dr. Stephanie Pongracz's medical specialty?
Dr. Stephanie Pongracz practices Surgical Physician Assistant in Santa Monica, CA.
Where does Dr. Stephanie Pongracz practice?
Dr. Stephanie Pongracz practices at 2020 Santa Monica Blvd, Santa Monica, CA 904042023. Office phone: 3109282663.
What is Dr. Stephanie Pongracz's NPI?
Dr. Stephanie Pongracz's National Provider Identifier (NPI) is 1508172016, issued by NPPES.
Does Dr. Stephanie Pongracz accept Medicare assignment?
Yes. Dr. Stephanie Pongracz accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephanie Pongracz commonly perform?
Top Medicare-reported procedures in 2023: X-ray of shoulder, minimum of 2 views (HCPCS 73030); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.