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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RICHARD V MONTILLA M.D.
NPI 1205989191
Surgery - Plastic and Reconstructive Surgery in Worcester, MA

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST STE 675, WORCESTER, MA 01608(508) 948-4030(508) 459-1101 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard V Montilla M.d. NPPES

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

RICHARD V MONTILLA M.D. (NPI 1205989191) is an individual plastic and reconstructive surgery provider in Worcester, Massachusetts, licensed in Texas (FTL# 43047) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1205989191
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameRICHARD V MONTILLACredential: M.D.
Location Address123 SUMMER ST STE 675Worcester, MA 01608-1216
Mailing Address123 Summer St Ste 675Worcester, MA 01608-1216 · (508) 948-4030 · Fax (508) 459-1101
Phone(508) 948-4030
Fax(508) 459-1101
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1205989191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · FTL# 43047
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License FTL# 43047 (TX)
123 SUMMER ST STE 675, Worcester, MA 01608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Richard V Montilla 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 ID9830281625
PECOS Enrollment IDI20070824000287, I20100831000951
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 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.
28 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, Po Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,142 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%20 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
7%548 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%658 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 84% · 168 patients
93%168 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
13%548 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 258 patients
0%258 patients5/55-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 2

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

GLORIANNA ATHINA THEODHORAQI PA
Physician Assistant
123 SUMMER ST STE 675
WORCESTER, MA 01608
Worcester County (508) 948-4030
RICHARD V. MONTILLA M.D, P.C.
Plastic Surgery
123 SUMMER ST STE 675
WORCESTER, MA 01608
Worcester County (508) 948-4030

Frequently Asked Questions

What is Richard Montilla's NPI number?

The NPI number assigned to this healthcare provider is 1205989191, enumerated as an "individual" on January 22, 2007.

Where is the provider located?

The provider is located at 123 SUMMER ST STE 675 WORCESTER, MA 01608 and the phone number is (508) 948-4030.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

What insurance does Richard Montilla accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Is Richard Montilla affiliated with any hospitals?

Richard Montilla is affiliated with: HEYWOOD HOSPITAL, UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS, ST VINCENT HOSPITAL and MARTHA'S VINEYARD HOSPITAL INC.