DR. MARK JAMES MONTANO M.D.
NPI 1225146731
Family Medicine in Highlands Ranch, CO

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
9330 S UNIVERSITY BLVD STE 100, HIGHLANDS RANCH, CO 80126(303) 346-3627(303) 683-9392 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mark James Montano M.d. NPPES

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

DR. MARK JAMES MONTANO M.D. (NPI 1225146731) is an individual family medicine provider in Highlands Ranch, Colorado, licensed in Colorado (38246) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1998).

NPPES Registry Identity

NPI1225146731
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK JAMES MONTANOCredential: M.D.
Location Address9330 S UNIVERSITY BLVD STE 100Highlands Ranch, CO 80126-5049
Mailing Address9330 S University Blvd Ste 100Highlands Ranch, CO 80126-5049 · (303) 346-3627 · Fax (303) 683-9392
Fax(303) 683-9392
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1998
Enumeration DateAugust 25, 2006
Last NPPES UpdateJune 15, 2011
✔ NPI 1225146731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 38246
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.
9330 S UNIVERSITY BLVD STE 100, Highlands Ranch, CO 80126

Other Identifiers 2

Medicare PINC439628
Medicare UPINH43859CO

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

Dr. Mark James Montano 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 ID3971797879
PECOS Enrollment IDI20101104001080
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 Reassignment

Medicare enrollment records show Mark Montano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
5990 S UNIVERSITY BLVD
Greenwood Village, CO 80121
  • Reassigned Medicare billing, Colorado enrollment
  • 32 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 80126 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
9330 S UNIVERSITY BLVD STE 100
HIGHLANDS RANCH, CO 80126

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 Mark Montano's NPI number?

The NPI number for Mark Montano is 1225146731. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Mark Montano located?

Mark Montano practices at 9330 S University Blvd Ste 100, Highlands Ranch, CO 80126. The listed phone number is (303) 346-3627.

What is Mark Montano's specialty?

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

Is Mark Montano enrolled in Medicare?

Yes. Mark Montano 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 organization bills Medicare for Mark Montano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Montano reassigns Medicare benefits to Healthone Carenow Urgent Care, LLC (Greenwood Village, CO). The 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 Mark Montano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Montano was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.