Doctor profile · Federal record
Dr. Franklin Ponce Herrera, MD
Nephrology Physician (CMS: Nephrology) · McAllen, TX
- NPI 1265849442
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 14 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
409 Lindberg Ave
McAllen, TX 785012921
(956) 682-1508
fax (956) 682-0551 - Additional location
-
703 Main St
Paterson, NJ 075032621
(973) 754-2000
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- June 15, 2025
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Texas #S0776
- Medicaid
- TX #397214302
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265849442. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,892
Distinct HCPCS
10
Medicare allowed
$300,875
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90935 |
Hemodialysis procedure with physician evaluation | 323 | 70 | $69 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 312 | 138 | $76 | |
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 289 | 76 | $281 | |
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 230 | 66 | $339 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 178 | 102 | $123 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 168 | 94 | $114 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 142 | 105 | $167 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 94 | 72 | $87 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 66 | 45 | $125 | |
90962 |
Dialysis services, 1 physician visit per month (20 years or older) | 39 | 29 | $193 |
In context: peer comparison
Among 5 peers in McAllen Nephrology Physician, average services per provider: 163. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$3,335
Transactions
153
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Vifor Pharma, INC. | 29 | $450.52 | |
| Fresenius USA Marketing, INC. | 26 | $422.82 | |
| Calliditas Therapeutics US INC. | 23 | $370.60 | |
| Travere Therapeutics, INC. | 10 | $322.94 | |
| Bayer Healthcare Pharmaceuticals INC. | 15 | $302.29 | |
| Akebia Therapeutics INC | 12 | $278.96 | |
| Novo Nordisk INC | 8 | $262.11 | |
| AstraZeneca Pharmaceuticals Lp | 12 | $253.82 | |
| Ardelyx, INC. | 5 | $152.48 | |
| Medtronic, INC. | 1 | $142.03 | |
| Abbvie INC. | 1 | $125.00 | |
| Amgen INC. | 5 | $90.87 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 3 | $71.91 | |
| Ani Pharmaceuticals, INC. | 2 | $53.41 | |
| CorMedix INC. | 1 | $35.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,207
Patients
745
Total drug cost
$1,392,947
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prosol (Parenteral Amino Acid 20% No.1) | Brand | 342 | 12 | $51,045 |
| Nifedipine ER (Nifedipine) | Brand | 239 | 120 | $18,442 |
| Ozempic (Semaglutide) | Brand | 227 | 51 | $267,850 |
| Sevelamer Carbonate | Generic | 215 | 95 | $87,215 |
| Velphoro (Sucroferric Oxyhydroxide) | Brand | 151 | 56 | $439,155 |
| Telmisartan | Generic | 146 | 69 | $10,127 |
| Furosemide | Generic | 134 | 71 | $1,536 |
| Veltassa (Patiromer Calcium Sorbitex) | Brand | 132 | 50 | $177,647 |
| Lokelma (Sodium Zirconium Cyclosilicate) | Brand | 112 | 47 | $134,920 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 107 | 35 | $155,301 |
Hospital affiliations
Frequently asked questions
What is Dr. Franklin Ponce Herrera's medical specialty?
Dr. Franklin Ponce Herrera practices Nephrology Physician in McAllen, TX.
Where does Dr. Franklin Ponce Herrera practice?
Dr. Franklin Ponce Herrera practices at 409 Lindberg Ave, McAllen, TX 785012921. Office phone: 9566821508.
What is Dr. Franklin Ponce Herrera's NPI?
Dr. Franklin Ponce Herrera's National Provider Identifier (NPI) is 1265849442, issued by NPPES.
Does Dr. Franklin Ponce Herrera accept Medicare assignment?
Yes. Dr. Franklin Ponce Herrera accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Franklin Ponce Herrera commonly perform?
Top Medicare-reported procedures in 2023: Hemodialysis procedure with physician evaluation (HCPCS 90935); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS 90961). Source: CMS Medicare Physician & Other Practitioners file.