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MICHAEL A MONTOYA MD
NPI 1215046545
Family Medicine in Albuquerque, NM

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110(505) 255-1228(505) 255-1394 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael A Montoya Md NPPES

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

MICHAEL A MONTOYA MD (NPI 1215046545) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (91-263) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1989).

NPPES Registry Identity

NPI1215046545
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL A MONTOYACredential: MD
Location Address1821 CARLISLE BLVD NEAlbuquerque, NM 87110-4905
Mailing AddressPo Box 26028Albuquerque, NM 87125-6028
Phone(505) 255-1228
Fax(505) 255-1394
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1989
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1215046545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 91-263
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1821 CARLISLE BLVD NE, Albuquerque, NM 87110
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Other Identifiers 1

Medicaid000F6815NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Michael A 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 ID5294639449
PECOS Enrollment IDI20031120000550
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 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.
303 services159 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.
64 services55 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims86 services$6.26 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$3.23 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,196 services$0.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$69.87 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 6

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

UNMSOM 89
Family Medicine
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 255-1228
MS. LOIS B MOSS NURSE PRACTITIONER
Nurse Practitioner (Family)
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 255-1228
SAMANTHA BACA P.A.-C.
Physician Assistant
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 255-1228
SHELBY RAMOS PA
Physician Assistant
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 255-1228
DONALD J ORTIZ MD
Family Medicine
1821 CARLISLE BLVD NE, MIDTOWN FAMILY MEDICINE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 255-1228
ANGELA LOVELL P.A.
Physician Assistant (Medical)
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 255-1228

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 Michael Montoya's NPI number?

The NPI number for Michael Montoya is 1215046545. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Michael Montoya located?

Michael Montoya practices at 1821 Carlisle Blvd NE, Albuquerque, NM 87110. The listed phone number is (505) 255-1228.

What is Michael Montoya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Montoya enrolled in Medicare?

Yes. Michael 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 Michael Montoya accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Montoya was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.