DR. ANTHONY MONTANEZ M.D.
NPI 1184981375
Surgery - Surgery of the Hand in San Antonio, TX

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
72.28/100
CMS Quality Rating
11212 STATE HIGHWAY 151 STE 150, SAN ANTONIO, TX 78251(210) 804-5400(210) 396-5353 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, May 3, 2023, Aug 24, 2018 (3 updates tracked since 2018).

About Dr. Anthony Montanez M.d. NPPES

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

DR. ANTHONY MONTANEZ M.D. (NPI 1184981375) is an individual surgery of the hand provider in San Antonio, Texas, licensed in Texas (R4108) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1184981375
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDR. ANTHONY MONTANEZCredential: M.D.
Location Address11212 STATE HIGHWAY 151 STE 150San Antonio, TX 78251
Mailing Address400 Concord Plaza Dr Ste 300San Antonio, TX 78216-6991 · (210) 804-5416 · Fax (210) 678-4142
Fax(210) 396-5353
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateOctober 4, 20253 updates tracked since enumeration
NPPES CertifiedOctober 4, 2025
NPI 1184981375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License Licensed in TX · R4108
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License R4108 (TX)
11212 STATE HIGHWAY 151 STE 150, San Antonio, TX 78251

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

Dr. Anthony Montanez 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 ID4183855992
PECOS Enrollment IDI20180629000674
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 27

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,213 services239 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.
488 services291 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
243 services161 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
185 services119 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.
151 services110 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
140 services140 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

72.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.73
Promoting Interoperability90
Improvement Activities40
Cost52.22

Reported Quality Measures

Advance Care Plan
11%1,333 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
51%487 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%2,080 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
44%57 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%58 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%6,128 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%1,286 patients1/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
15%560 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%3,257 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%3,355 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%5,764 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 39% · 2,357 patients
Patients screened: 43% · 2,357 patients
5%97 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 1% · 1,585 patients
1%1,585 patients
Provide Patients Electronic Access to Their Health Information
60%1,291 patients3/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
0%29 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%105 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,361 patients
Patients totalRate: 2% · 1,361 patients
1%1,361 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.

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.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
3 suppliers59 claims59 services$78.48 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$89.64 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
3 suppliers33 claims33 services$188.03 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers44 claims50 services$43.82 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 7

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

Advanced Practice Midwife
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251
Physician Assistant
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251
Physical Therapist
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251
Physical Therapist (Orthopedic)
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251
Physical Therapist
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251
Physical Therapist (Orthopedic)
11212 STATE HIGHWAY 151 STE 150
SAN ANTONIO, TX 78251

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 Anthony Montanez's NPI number?

The NPI number for Anthony Montanez is 1184981375. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Anthony Montanez located?

Anthony Montanez practices at 11212 State Highway 151 Ste 150, San Antonio, TX 78251. The listed phone number is (210) 804-5400.

What is Anthony Montanez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Anthony Montanez enrolled in Medicare?

Yes. Anthony Montanez 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 Anthony Montanez accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Anthony Montanez 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 Anthony Montanez affiliated with any hospitals?

According to CMS data, Anthony Montanez is affiliated with Baptist Medical Center and Christus Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Montanez was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.