LANCE MONTEAU M.D. NPI 1003015454
Internal Medicine in San Marcos, TX

About LANCE MONTEAU M.D.

Lance Monteau is an internist established in San Marcos, Texas and his medical specialization is Internal Medicine with more than 16 years of experience. He graduated from University Of North Dakota School Of Medicine in 2007. The NPI number of Lance Monteau is 1003015454 and was assigned on July 2007. The practitioner's primary taxonomy code is 207R00000X with license number 11622 (ND). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1003015454
Provider Name LANCE MONTEAU M.D.
Location Address1290 WONDER WORLD DR STE 1100 SAN MARCOS, TX 78666
Location Phone(512) 393-3325
Mailing Address2223 E ROSSER AVE BISMARCK, ND 58501
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date07-16-2007
Last Update Date08-17-2020

An internist like Lance Monteau M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Lance Monteau is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Lance Monteau is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.67 for a new patient copayment and $25.3 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.11622
License StateND
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

LANCE MONTEAU M.D.
1290 WONDER WORLD DR STE 1100
SAN MARCOS, TX
ZIP 78666
Phone: (512) 393-3325
Fax: (512) 393-3328

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Mailing Address

LANCE MONTEAU M.D.
2223 E ROSSER AVE
BISMARCK, ND
ZIP 58501
Phone: (701) 857-8000
Fax: (701) 857-8070


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1153514773
PECOS Enrollment IDI20200812001616
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 78666 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.75 $172.6 $130.71
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.15 $32.67
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.72 $141.29 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $35.32 $25.3

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
15424MEDICAID (05)ND

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 4 + 1 + 0 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003015454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013569284MS. KATHARYN ELIZABETH JOY BERGER PA
Individual
Physician Assistant1290 WONDER WORLD DR STE 1100
SAN MARCOS, TX 78666
(512) 393-3325
1770107161 MELISSA PENDERGRAFT
Individual
Nurse Practitioner (Family)1290 WONDER WORLD DR STE 1100
SAN MARCOS, TX 78666
(512) 393-3325
1457350902 JOHN RICHARD JACKSON M.D.
Individual
Family Medicine1290 WONDER WORLD DR STE 1100
SAN MARCOS, TX 78666
(512) 393-3325
1760039796 GARRY ADAM FRANCIS-VERBEELEN AGCNSBC
Individual
Clinical Nurse Specialist (Gerontology)1290 WONDER WORLD DR STE 1100
SAN MARCOS, TX 78666
(512) 393-3325

Frequently Asked Questions

What is Lance Monteau M.D. NPI number?

The NPI number assigned to Lance Monteau M.D. is 1003015454, registered as an "individual" on July 16, 2007

Where is Lance Monteau M.D. located?

The provider is located at 1290 Wonder World Dr Ste 1100 San Marcos, Tx 78666 and the phone number is (512) 393-3325

Which is Lance Monteau M.D. specialty?

The provider's speciality is Internal Medicine

How many years of experience does Lance Monteau M.D. have?

The provider has more than 16 years of experience. He graduated from University Of North Dakota School Of Medicine in 2007.

What insurance does Lance Monteau M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Lance Monteau M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Lance Monteau M.D.?

Medicare beneficiaries should expect a typical cost of $130.71 with an average copayment of $32.67 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Lance Monteau M.D. was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]