MANUEL MONTERO M.D.
NPI 1114929346
Internal Medicine - Nephrology in New Bern, NC

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
970 NEWMAN RD, NEW BERN, NC 28562(252) 633-9262(252) 317-2094 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manuel Montero M.d. NPPES

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

MANUEL MONTERO M.D. (NPI 1114929346) is an individual nephrology provider in New Bern, North Carolina, licensed in North Carolina (9800097) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1114929346
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMANUEL MONTEROCredential: M.D.
Location Address970 NEWMAN RDNew Bern, NC 28562-5200
Mailing Address970 Newman RdNew Bern, NC 28562-5200 · (252) 633-9262 · Fax (252) 317-2094
Fax(252) 317-2094
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 1, 2005
Last NPPES UpdateDecember 20, 2011
NPI 1114929346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NC · 9800097
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
970 NEWMAN RD, New Bern, NC 28562

Other Identifiers 4

Other1109VNC · Bcbs Of Nc
Medicare PIN2248501ANC
Medicaid891109VNC
Medicare UPINF48918

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

Manuel Montero 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 ID4486756368
PECOS Enrollment IDI20070223000192
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 24

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.

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106
Epoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
1,130 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
427 services156 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
396 services151 patients
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.
354 services151 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
302 services43 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
244 services134 patients

Hospital Affiliations CMS Care Compare 2

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers20 claims1,140 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers12 claims1,320 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers18 claims18 services$17.88 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers29 claims38 services$11.60 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 9

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

Internal Medicine (Nephrology)
970 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Nephrology)
970 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner
970 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Nephrology)
970 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Nephrology)
970 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner (Family)
970 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Nephrology)
970 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner (Adult Health)
970 NEWMAN RD
NEW BERN, NC 28562

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 Manuel Montero's NPI number?

The NPI number for Manuel Montero is 1114929346. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Manuel Montero located?

Manuel Montero practices at 970 Newman Rd, New Bern, NC 28562. The listed phone number is (252) 633-9262.

What is Manuel Montero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manuel Montero enrolled in Medicare?

Yes. Manuel Montero 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 Manuel Montero accept?

Health plans from Blue Cross and Blue Shield of NC list Manuel Montero 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 Manuel Montero affiliated with any hospitals?

According to CMS data, Manuel Montero is affiliated with Carolina East Medical Center and Carteret General Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Montero was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.