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PETER P. MONTELEONE MD
NPI 1164625760
Internal Medicine - Interventional Cardiology in Kyle, TX

Active since June 09, 2007PECOS EnrolledAccepts Medicare Assignment
89.56/100
CMS Quality Rating
1180 SETON PKWY, SUITE 450, KYLE, TX 78640(512) 504-0860(512) 504-0861 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2016, Sep 13, 2016 (2 updates tracked since 2016).

About Peter P. Monteleone Md NPPES

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

PETER P. MONTELEONE MD (NPI 1164625760) is an individual interventional cardiology provider in Kyle, Texas, licensed in Texas (Q8962) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Tufts University School Of Dental Medicine (2007).

NPPES Registry Identity

NPI1164625760
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePETER P. MONTELEONECredential: MD
Location Address1180 SETON PKWY, SUITE 450Kyle, TX 78640-6178
Mailing Address1301 W 38th St, Suite 400Austin, TX 78705-1000 · (512) 324-3440 · Fax (512) 406-6513
Phone(512) 504-0860
Fax(512) 504-0861
Sole ProprietorNo
Medical School CMSTufts University School Of Dental MedicineGraduated 2007
Enumeration DateJune 9, 2007
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
✔ NPI 1164625760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TX · Q8962
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License Q8962 (TX)
1180 SETON PKWY, Kyle, TX 78640
Open in Google Maps ↗

Other Identifiers 5

Medicaid361468701TX
Medicare PIN519070YMGJTX
Other8GA895TX · Bcbs
Medicaid361468702TX
Medicare PIN519070YL9XTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Peter P. Monteleone 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 ID3375727514
PECOS Enrollment IDI20160810002025
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 11

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.

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.
237 services168 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
137 services126 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
86 services80 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
57 services50 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
53 services51 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
46 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.57
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
22%181 patients1/55-star benchmark: 93%
Cervical Cancer Screening
19%126 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
33%76 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
19%528 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
73%441 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
76%55 patients3/55-star benchmark: 99%
Diabetes: Eye Exam
3%116 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
78%116 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,100 patients4/55-star benchmark: 100%
e-Prescribing
99%267 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
6%462 patients1/55-star benchmark: 100%
HIV Screening
6%358 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%726 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
85%725 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%348 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 640 patients
Patients screened: 98% · 640 patients
39%69 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%298 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%511 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 474 patients
Patients totalRate: 2% · 475 patients
2%475 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MATTHEW R. MCCURDY MD
Radiology (Radiation Oncology)
1180 SETON PKWY, STE 150
KYLE, TX 78640
Hays County (512) 505-5500
MRS. TIPHANY PRICE RN, BSN, ACNP-BC
Nurse Practitioner (Acute Care)
1180 SETON PKWY, SUITE 450
KYLE, TX 78640
Hays County (512) 504-0860
CHRISTINA MARIE SHEELY D.O.
Orthopaedic Surgery
1180 SETON PKWY, SUITE 220
KYLE, TX 78640
Hays County (512) 504-0086
CENTRAL TEXAS MEDICAL SPECIALISTS, PLLC
Radiology (Radiation Oncology)
1180 SETON PKWY, STE 150
KYLE, TX 78640
Hays County (512) 505-5500
DR. JASON JOSEPH BOSCO M.D.
Obstetrics & Gynecology
1180 SETON PKWY, SUITE 340
KYLE, TX 78640
Hays County (512) 504-0851
CHRISTINA LEE RUSSELL
Specialist/Technologist, Health Information
1180 SETON PKWY, SUITE 320
KYLE, TX 78640
Hays County (512) 268-7100
DR. DARRYL SHANE CAMP M.D.
Psychiatry & Neurology (Neurology)
1180 SETON PKWY, SUITE 300
KYLE, TX 78640
Hays County (512) 551-0846
DR. JESSICA CRAWFORD MUELLER M.D.
Obstetrics & Gynecology
1180 SETON PKWY, SUITE 340
KYLE, TX 78640
Hays County (512) 504-0851

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 Peter Monteleone's NPI number?

The NPI number for Peter Monteleone is 1164625760. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Peter Monteleone located?

Peter Monteleone practices at 1180 Seton Pkwy Suite 450, Kyle, TX 78640. The listed phone number is (512) 504-0860.

What is Peter Monteleone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Peter Monteleone enrolled in Medicare?

Yes. Peter Monteleone 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 Peter Monteleone accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Peter Monteleone 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 Peter Monteleone affiliated with any hospitals?

According to CMS data, Peter Monteleone is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Peter Monteleone was last updated on November 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.