JORDAN MONTOYA MD
NPI 1073199972
Dermatology in Lees Summit, MO

Q: What is Jordan Montoya's NPI number?

The NPI number for Jordan Montoya is 1073199972. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Jordan Montoya's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Montoya was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064(816) 454-3424 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2025, Apr 30, 2022, Mar 22, 2021 (3 updates tracked since 2021).

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About Jordan Montoya Md NPPES

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

JORDAN MONTOYA MD (NPI 1073199972) is an individual dermatology provider in Lees Summit, Missouri, licensed in Missouri (2025018614) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2021).

NPPES Registry Identity

NPI1073199972

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameJORDAN MONTOYACredential: MD

Location Address3265 NE RALPH POWELL RDLees Summit, MO 64064-2301

Mailing Address3265 Ne Ralph Powell RdLees Summit, MO 64064-2301 · (816) 454-3424 · Fax (816) 524-4929

Phone(816) 454-3424

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1073199972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MO · 2025018614

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3265 NE RALPH POWELL RD, Lees Summit, MO 64064

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.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

Jordan Montoya Md 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 ID2264818491

PECOS Enrollment IDI20250725003015

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64064 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

NICHOLAS JOSEPH GOLDA M.D.

Dermatology (MOHS-Micrographic Surgery)