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MEGHAN MONTHIE MD
NPI 1225533540
Family Medicine in Albany, NY

Active since March 28, 2018Opted out of Medicare · through Aug 21, 2027CLIA 33D2327946 · Waiver
12 METRO PARK RD STE 208, ALBANY, NY 12205(518) 288-8318(518) 942-9983 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Jun 30, 2021, Nov 15, 2019 and 1 more (4 updates tracked since 2018).

About Meghan Monthie Md NPPES

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

MEGHAN MONTHIE MD (NPI 1225533540) is an individual family medicine provider in Albany, New York, licensed in New York (307365) and active in the NPI registry since March 2018. She has opted out of Medicare through August 21, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through July 31, 2027.

NPPES Registry Identity

NPI1225533540
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMEGHAN MONTHIECredential: MD
Location Address12 METRO PARK RD STE 208Albany, NY 12205-1139
Mailing Address12 Metro Park Rd Ste 208Albany, NY 12205-1139 · (518) 288-8318 · Fax (518) 942-9983
Phone(518) 288-8318
Fax(518) 942-9983
Sole ProprietorYes
Enumeration DateMarch 28, 2018
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1225533540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 307365
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.
12 METRO PARK RD STE 208, Albany, NY 12205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Meghan Monthie Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 21, 2025 through August 21, 2027.

Opt-Out Effective DateAugust 21, 2025
Opt-Out In Effect ThroughAugust 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2327946

Meghan Monthie MD PLLC Dba Heirloom Family Medicine · Albany, NY
Active · expires Jul 31, 2027
CLIA Number33D2327946
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorMeghan M. Monthie
Laboratory Phone(518) 288-8318
Laboratory LocationMeghan Monthie MD PLLC Dba Heirloom Family Medicine12 Metro Park Road, Suite 208, Albany, NY 12205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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 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.
82 services59 patients
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.
82 services58 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.
73 services73 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
20 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services14 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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
4 suppliers11 claims27 services$6.56 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 4

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

KEYSTONE PHYSICAL THERAPY, PLLC
Physical Therapist
12 METRO PARK RD STE 208
ALBANY, NY 12205
Albany County (518) 304-6006
ROSE MITCHELL CM
Midwife
12 METRO PARK RD STE 208
ALBANY, NY 12205
Albany County (518) 308-8653
CARIN E CAPPADOCIA P.T.
Physical Therapist
12 METRO PARK RD STE 208
ALBANY, NY 12205
Albany County (518) 304-6006
MEGHAN MONTHIE, M.D. PLLC
Family Medicine
12 METRO PARK RD STE 208
ALBANY, NY 12205
Albany County (518) 288-8318

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 Meghan Monthie's NPI number?

The NPI number for Meghan Monthie is 1225533540. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Meghan Monthie located?

Meghan Monthie practices at 12 Metro Park Rd Ste 208, Albany, NY 12205. The listed phone number is (518) 288-8318.

What is Meghan Monthie's specialty?

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

Is Meghan Monthie enrolled in Medicare?

No. Meghan Monthie has opted out of Medicare through August 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Meghan Monthie hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2327946) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meghan Monthie was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.