RAMIRO A MONTALVO JR. M.D.
NPI 1225147135
Internal Medicine in Brookhaven, MS

Q: What is Ramiro Montalvo's NPI number?

The NPI number for Ramiro Montalvo is 1225147135. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Ramiro Montalvo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ramiro Montalvo was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

93.1/100

CMS Quality Rating

940 BROOKWAY BLVD, BROOKHAVEN, MS 39601(601) 823-5000(601) 823-4140 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ramiro A Montalvo Jr. M.d. NPPES

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

RAMIRO A MONTALVO JR. M.D. (NPI 1225147135) is an individual internal medicine provider in Brookhaven, Mississippi, licensed in Mississippi (11392) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and is a graduate of University Of Mississippi School Of Medicine (1986).

NPPES Registry Identity

NPI1225147135

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRAMIRO A MONTALVO JR.Credential: M.D.

Location Address940 BROOKWAY BLVDBrookhaven, MS 39601-2644

Mailing Address940 Brookway BlvdBrookhaven, MS 39601-2644 · (601) 823-5000 · Fax (601) 823-4140

Phone(601) 823-5000

Fax(601) 823-4140

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1986

Enumeration DateAugust 30, 2006

Last NPPES UpdateOctober 25, 2016

✔ NPI 1225147135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MS · 11392

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

940 BROOKWAY BLVD, Brookhaven, MS 39601

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Other Identifiers 3

Medicare ID-Type Unspecified110000829MS

Medicaid00110853MS

Medicare UPINE67642MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Ramiro A Montalvo Jr. 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 ID5991848491

PECOS Enrollment IDI20100826000599

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 9

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.

464 services418 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.

201 services168 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

88 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

48 services48 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

35 services28 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

30 services22 patients

Hospital Affiliations CMS Care Compare 4

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

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250057

Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County

Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Mississippi Methodist Rehab Ctr

Acute Care Hospitals · Jackson, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number250152

Location1350 E Woodrow Wilson DrJackson, MS 39216 · Hinds County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39601 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

93.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

83.08

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 29

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

7 suppliers110 claims322 services$6.31 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers17 claims17 services$2.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers54 claims84 services$1.13 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers11 claims23 services$7.98 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers12 claims12 services$36.09 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers13 claims34 services$42.47 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers13 claims71 services$16.59 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers27 claims27 services$64.10 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers29 claims29 services$22.17 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers25 claims25 services$19.64 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers37 claims210 services$2.79 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

4 suppliers18 claims18 services$7.77 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers11 claims11 services$13.93 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

2 suppliers24 claims669 services$4.14 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers23 claims644 services$7.35 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers49 claims22,974 services$0.39 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers13 claims13 services$82.28 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers61 claims61 services$18.35 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier29 claims29 services$777.27 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier22 claims22 services$18.77 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers31 claims31 services$46.86 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers17 claims17 services$13.91 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

4 suppliers87 claims87 services$106.56 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier22 claims22 services$38.18 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers20 claims3,410 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers12 claims1,200 services$0.10 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier20 claims20 services$23.85 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers29 claims29 services$197.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers28 claims28 services$23.98 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 9

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

KING'S DAUGHTERS MEDICAL CENTER

Clinic/Center (Rural Health)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

TONYA C HUGHEY CFNP

Nurse Practitioner (Family)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

DANIEL MOORE NURSE PRACTITIONER

Nurse Practitioner (Family)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

DENA W JACKSON M.D.

Internal Medicine

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

DR. CRAIG D. BERTEAU M.D.

Psychiatry & Neurology (Neurology)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

KARLA ADAMS GERALD FNP

Nurse Practitioner (Family)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

MS. ASHTON KYLE NEWMAN FNP-C

Nurse Practitioner (Family)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 823-5000

DR. KAREN WALLACE FREEMAN PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

940 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Lincoln County (601) 835-9157

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 Ramiro Montalvo's NPI number?

The NPI number for Ramiro Montalvo is 1225147135. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Ramiro Montalvo located?

Ramiro Montalvo practices at 940 Brookway Blvd, Brookhaven, MS 39601. The listed phone number is (601) 823-5000.

What is Ramiro Montalvo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ramiro Montalvo enrolled in Medicare?

Yes. Ramiro Montalvo 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 Ramiro Montalvo accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Ramiro Montalvo 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 Ramiro Montalvo affiliated with any hospitals?

According to CMS data, Ramiro Montalvo is affiliated with King's Daughters Medical Center-Brookhaven, Southwest Ms Regional Medical Center, Mississippi Baptist Medical Center and Mississippi Methodist Rehab Ctr.

When was this NPI record last updated?

The NPPES record for Ramiro Montalvo was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.