JANELLE MONTOYA M.D.
NPI 1063703262
Family Medicine in Albuquerque, NM

Active since April 22, 2011PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
5901 HARPER DR NE, ALBUQUERQUE, NM 87109(505) 823-8282 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Janelle Montoya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANELLE MONTOYA M.D. (NPI 1063703262) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2013-0978) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2011).

NPPES Registry Identity

NPI1063703262
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJANELLE MONTOYACredential: M.D.
Location Address5901 HARPER DR NEAlbuquerque, NM 87109-3587
Mailing Address5901 Harper Dr NeAlbuquerque, NM 87109-3587 · (505) 823-8282
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2011
Enumeration DateApril 22, 2011
Last NPPES UpdateSeptember 3, 2014
NPI 1063703262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD2013-0978
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5901 HARPER DR NE, Albuquerque, NM 87109

Other Names 1

Former Name (1)Janelle Heimberger

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Janelle Montoya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476787441
PECOS Enrollment IDI20140716002623
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims38 services$5.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Emergency Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Pediatrics
5901 HARPER DR NE, PMG NORTHSIDE
ALBUQUERQUE, NM 87109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janelle Montoya's NPI number?

The NPI number for Janelle Montoya is 1063703262. It was assigned to this individual provider in the NPPES registry on April 22, 2011. The provider is also known as Janelle Heimberger.

Where is Janelle Montoya located?

Janelle Montoya practices at 5901 Harper Dr NE, Albuquerque, NM 87109. The listed phone number is (505) 823-8282.

What is Janelle Montoya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Janelle Montoya enrolled in Medicare?

Yes. Janelle Montoya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Janelle Montoya accept?

Health plans from UnitedHealthcare list Janelle Montoya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Janelle Montoya affiliated with any hospitals?

According to CMS data, Janelle Montoya is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Janelle Montoya was last updated on September 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.