ALBERTO E MONTOYA MD
NPI 1154333771
Emergency Medicine in Overland Park, KS

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
16164 LINDEN ST, OVERLAND PARK, KS 66085(901) 827-9175 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alberto E Montoya Md NPPES

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

ALBERTO E MONTOYA MD (NPI 1154333771) is an individual emergency medicine provider in Overland Park, Kansas, licensed in Kansas (04-27471) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with El Campo Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1154333771
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameALBERTO E MONTOYACredential: MD
Location Address16164 LINDEN STOverland Park, KS 66085-9399
Mailing Address16164 Linden StOverland Park, KS 66085-9399 · (901) 827-9175
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 26, 2012
NPI 1154333771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KS · 04-27471 Licensed in NY · 2378341
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0427471 (KS), 237834 (NY)
16164 LINDEN ST, Overland Park, KS 66085

Other Identifiers 12

Medicaid02747473NY
OtherP020237834NY · Blue Shield
Other7847444NY · Aetna
Medicaid100315490JKS
Medicare PINKA1398001KS
Other1154333771KS · Bcbs
Medicare UPING74583NY
Medicare ID-Type UnspecifiedRB0289NY
Medicaid100315490PKS
Medicare PINJ400002963NY
Medicare PINKA1209011KS
Medicare PINRB5960NY

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

Alberto E 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 ID547202996
PECOS Enrollment IDI20100914000973
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 3

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.
77 services75 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.
36 services36 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

El Campo Memorial Hospital

Acute Care Hospitals · El Campo, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450694
Location303 Sandy Corner RdEl Campo, TX 77437 · Wharton County
Emergency services

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Lavaca Medical Center

Critical Access Hospitals · Hallettsville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451376
Location1400 North Texana StreetHallettsville, TX 77964 · Lavaca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66085 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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 Alberto Montoya's NPI number?

The NPI number for Alberto Montoya is 1154333771. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Alberto Montoya located?

Alberto Montoya practices at 16164 Linden St, Overland Park, KS 66085. The listed phone number is (901) 827-9175.

What is Alberto Montoya's specialty?

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

Is Alberto Montoya enrolled in Medicare?

Yes. Alberto 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 Alberto Montoya accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Alberto 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 Alberto Montoya affiliated with any hospitals?

According to CMS data, Alberto Montoya is affiliated with El Campo Memorial Hospital, St Luke's The Woodlands Hospital and Lavaca Medical Center.

When was this NPI record last updated?

The NPPES record for Alberto Montoya was last updated on January 26, 2012. 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.