ANTHONY MICHAEL MONTEFUSCO IV
NPI 1104817972
Emergency Medicine in San Leandro, CA

Q: What is Anthony Montefusco's NPI number?

The NPI number for Anthony Montefusco is 1104817972. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Anthony Montefusco's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

94.62/100

CMS Quality Rating

13855 E 14TH ST, SAN LEANDRO, CA 94578(209) 342-2300(209) 524-4240 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Anthony Michael Montefusco Iv NPPES

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

ANTHONY MICHAEL MONTEFUSCO IV (NPI 1104817972) is an individual emergency medicine provider in San Leandro, California, licensed in California (A65978) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1994).

NPPES Registry Identity

NPI1104817972

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameANTHONY MICHAEL MONTEFUSCO IV

Location Address13855 E 14TH STSan Leandro, CA 94578-2611

Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 342-2300 · Fax (209) 524-4240

Phone(209) 342-2300

Fax(209) 524-4240

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1994

Enumeration DateNovember 2, 2005

Last NPPES UpdateMay 28, 2008

✔ NPI 1104817972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A65978

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

13855 E 14TH ST, San Leandro, CA 94578

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Other Identifiers 4

Other00A659780CA · Blue Shield

Medicare ID-Type Unspecified00A659780CA

Medicare UPING84027

Medicaid00A659780CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Michael Montefusco Iv 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 ID4284676024

PECOS Enrollment IDI20050523000839

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Montefusco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California

Same address

Emergency Medicine

13855 E 14TH ST
San Leandro, CA 94578

Reassigned Medicare billing, California enrollment
2,323 clinicians in this Medicare group

NPI 1720367295 (510) 357-6500

County Of Santa Clara

19 mi

Clinic/Center

2741 MIDDLEFIELD RD
Palo Alto, CA 94306

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1285228080 (408) 885-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

310 services305 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

213 services211 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

69 services65 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

40 services40 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

19 services19 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94578 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

94.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.67

Improvement Activities

Cost

97.14

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.

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Radiology (Diagnostic Radiology)