MRS. EMMA P MONTANEZ MD
NPI 1164414298
Internal Medicine in Las Vegas, NV

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
83.58/100
CMS Quality Rating
4275 BURNHAM AVE STE 340, LAS VEGAS, NV 89119(702) 734-6363(702) 734-6374 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2024, Nov 25, 2015 (2 updates tracked since 2015).

About Mrs. Emma P Montanez Md NPPES

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

MRS. EMMA P MONTANEZ MD (NPI 1164414298) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (24841) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1164414298
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. EMMA P MONTANEZCredential: MD
Location Address4275 BURNHAM AVE STE 340Las Vegas, NV 89119-5400
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Fax(702) 734-6374
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 16, 2005
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1164414298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NV · 24841 Licensed in MD · D0079620
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4275 BURNHAM AVE STE 340, Las Vegas, NV 89119

Other Names 1

Other Name (5)Mrs. Emma P Montanez-lewis Md

Other Identifiers 10

Other3741957MD · Cigna/great West/bravo/elderhealth
Other03029353MD · Americaid
OtherBV89-0001MD · Carefirst/bc-bs
Medicaid1164414298NV
Other305127MD · Johns Hopkins Ehp
Other7449511MD · Aetna/prudential Non-hmo
Medicaid854003800MD
Other1225902MD · Usa
Other524002MD · Aetna/prudential Hmo
Other24841NV · State License

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

Mrs. Emma P Montanez 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 ID5799697215
PECOS Enrollment IDI20240131003517
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
57 services41 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.
21 services21 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.
17 services17 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.
13 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

83.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.15
Promoting Interoperability100
Improvement Activities40
Cost62.64

Referred Medical Equipment & Supplies CMS DME claims 3

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
11 suppliers30 claims79 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers20 claims25 services$1.06 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
2 suppliers12 claims12 services$184.87 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 2

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

Family Medicine
4275 BURNHAM AVE STE 340
LAS VEGAS, NV 89119
Physician Assistant
4275 BURNHAM AVE STE 340
LAS VEGAS, NV 89119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164414298, enumerated as an "individual" on August 16, 2005.

The provider is located at 4275 BURNHAM AVE STE 340 LAS VEGAS, NV 89119 and the phone number is (702) 734-6363.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Cigna, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.