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JUAN DAVID MONTOYA M.D.
NPI 1215374160
Emergency Medicine in Converse, TX

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
811 MEADOW SCAPE, CONVERSE, TX 78109(954) 802-8095 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2018, Oct 29, 2018 (2 updates tracked since 2018).

About Juan David Montoya M.d. NPPES

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

JUAN DAVID MONTOYA M.D. (NPI 1215374160) is an individual emergency medicine provider in Converse, Texas, licensed in North Carolina (2015-01507) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1215374160
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUAN DAVID MONTOYACredential: M.D.
Location Address811 MEADOW SCAPEConverse, TX 78109-1654
Mailing Address210 N Church St Unit 1314Charlotte, NC 28202-2266 · (954) 802-8095
Phone(954) 802-8095
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 3, 2013
Last NPPES UpdateNovember 8, 20182 updates tracked since enumeration
✔ NPI 1215374160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2015-01507✔ Licensed in TX · R6023
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
811 MEADOW SCAPE, Converse, TX 78109
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Secondary Practice Location 1

Location 1170 Manning Dr, Department of Emergency MedicineChapel Hill, NC 27514-4221 · Phone (919) 966-6442 · Fax (919) 966-3049

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan David Montoya 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 ID6204126592
PECOS Enrollment IDI20160527000220
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Juan Montoya reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastonia Physician Services, PLLC
1,078 mi
Emergency Medicine
2525 COURT DR
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 200 clinicians in this Medicare group
NPI 1316367691 (704) 834-2000
Ballantyne Emergency Physicians PLLC
1,094 mi
Emergency Medicine
11516 PROVIDENCE RD
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 99 clinicians in this Medicare group
NPI 1164052726 (704) 667-0370
Stallings Emergency Physicians, PLLC
1,100 mi
Emergency Medicine
1000 HEALING WAY
Matthews, NC 28104
  • Reassigned Medicare billing, North Carolina enrollment
  • 77 clinicians in this Medicare group
NPI 1235728031 (980) 993-2000
Wake Forest Emergency Providers
1,103 mi
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
NPI 1396216735 (336) 716-2255
Western Carolina Emergency Physicians, PLLC
1,131 mi
Emergency Medicine
301 YADKIN ST
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 144 clinicians in this Medicare group
NPI 1134391758 (704) 984-4000
The Carolinas Emergency Group, PLLC
1,215 mi
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
NPI 1477508836 (910) 892-7161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
188 services184 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
162 services141 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78109 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
$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.

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 Juan Montoya's NPI number?

The NPI number for Juan Montoya is 1215374160. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Juan Montoya located?

Juan Montoya practices at 811 Meadow Scape, Converse, TX 78109. The listed phone number is (954) 802-8095.

What is Juan Montoya's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Juan Montoya enrolled in Medicare?

Yes. Juan 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.

Which organizations bill Medicare for Juan Montoya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Montoya reassigns Medicare benefits to 6 organizations: Gastonia Physician Services, PLLC (Gastonia, NC), Ballantyne Emergency Physicians PLLC (Charlotte, NC), Stallings Emergency Physicians, PLLC (Matthews, NC), Wake Forest Emergency Providers (Statesville, NC), Western Carolina Emergency Physicians, PLLC (Albemarle, NC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Montoya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Montoya accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company list Juan 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.

Is Juan Montoya affiliated with any hospitals?

According to CMS data, Juan Montoya is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Juan Montoya was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.