JAMES M MONTOYA MD
NPI 1235193160
Emergency Medicine in Emeryville, CA

Active since April 17, 2006PECOS Enrolled
94.62/100
CMS Quality Rating
2100 POWELL ST, SUITE 920, EMERYVILLE, CA 94608(510) 350-2673(510) 597-9200 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James M Montoya Md NPPES

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

JAMES M MONTOYA MD (NPI 1235193160) is an individual emergency medicine provider in Emeryville, California, licensed in North Carolina (2004-01100) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235193160
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES M MONTOYACredential: MD
Location Address2100 POWELL ST, SUITE 920Emeryville, CA 94608-1826
Mailing Address4150 V St Ste 2100Sacramento, CA 95817-1460 · (916) 734-4652 · Fax (916) 734-7950
Fax(510) 597-9200
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateDecember 15, 2011
NPI 1235193160 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 · 2004-01100 Licensed in SC · 27182 Licensed in CA · A94685
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.

2100 POWELL ST, Emeryville, CA 94608

Other Identifiers 7

Medicare ID-Type UnspecifiedAA06317283SC
Medicaid00A946850CA
Medicare PIN00A946850CA
OtherP00223202SC · Railroad
OtherP00455070CA · Railroad Medicare
Medicaid271823SC
Medicare UPINI16631SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James M Montoya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.
119 services108 patients
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.
99 services96 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.
43 services43 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94608 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2100 POWELL ST, STE 900
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Nurse Practitioner
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Nurse Practitioner
2100 POWELL ST
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST, SUITE 920
EMERYVILLE, CA 94608
Emergency Medicine
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Emergency Medicine
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST
EMERYVILLE, CA 94608

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 James Montoya's NPI number?

The NPI number for James Montoya is 1235193160. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is James Montoya located?

James Montoya practices at 2100 Powell St Suite 920, Emeryville, CA 94608. The listed phone number is (510) 350-2673.

What is James Montoya's specialty?

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

Is James Montoya enrolled in Medicare?

Yes. James Montoya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Montoya was last updated on December 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.