Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROLYN A MONTES MD
NPI 1215499769
Otolaryngology in San Diego, CA

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
5090 SHOREHAM PL STE 210, SAN DIEGO, CA 92122(858) 926-7010(858) 926-7011 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2026, Dec 27, 2024, Dec 11, 2024 and 2 more (5 updates tracked since 2019).

About Carolyn A Montes Md NPPES

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

CAROLYN A MONTES MD (NPI 1215499769) is an individual otolaryngology provider in San Diego, California, licensed in California (A201919) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1215499769
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameCAROLYN A MONTESCredential: MD
Location Address5090 SHOREHAM PL STE 210San Diego, CA 92122-5935
Mailing Address5090 Shoreham Pl Ste 210San Diego, CA 92122-5935 · (858) 926-7010 · Fax (858) 926-7011
Fax(858) 926-7011
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateSeptember 10, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1215499769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A201919
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License A201919 (CA)
5090 SHOREHAM PL STE 210, San Diego, CA 92122

Accepted 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

Carolyn A Montes 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 ID2163756487
PECOS Enrollment IDI20250516001506
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

4

Medicare enrollment records show Carolyn Montes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
5090 SHOREHAM PL STE 210
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Marsha Reuther MD Inc
  • 5 clinicians in this Medicare group
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
Specialist
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
Emergency Medicine
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

Physician Assistant (Medical)
5090 SHOREHAM PL STE 210
SAN DIEGO, CA 92122
Audiologist
5090 SHOREHAM PL STE 210
SAN DIEGO, CA 92122
Otolaryngology
5090 SHOREHAM PL STE 210
SAN DIEGO, CA 92122
Otolaryngology
5090 SHOREHAM PL STE 210
SAN DIEGO, CA 92122
Otolaryngology
5090 SHOREHAM PL STE 210
SAN DIEGO, CA 92122
Otolaryngology
5090 SHOREHAM PL STE 210
SAN DIEGO, CA 92122

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 Carolyn Montes's NPI number?

The NPI number for Carolyn Montes is 1215499769. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Carolyn Montes located?

Carolyn Montes practices at 5090 Shoreham Pl Ste 210, San Diego, CA 92122. The listed phone number is (858) 926-7010.

What is Carolyn Montes's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carolyn Montes enrolled in Medicare?

Yes. Carolyn Montes 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 Carolyn Montes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Montes reassigns Medicare benefits to 4 organizations: Marsha Reuther M.D., Inc (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA) and Ea Health Physicians Medical Group, Inc. (Palm Springs, CA). 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 Carolyn Montes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Montes accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Carolyn Montes 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 Carolyn Montes was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.