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EDUARDO MONTOYA PSY.D
NPI 1255570131
Psychologist - Clinical in Dearborn, MI

Active since February 17, 2009PECOS EnrolledAccepts Medicare Assignment
86.24/100
CMS Quality Rating
18181 OAKWOOD BLVD STE 411, DEARBORN, MI 48124(248) 551-1550 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eduardo Montoya Psy.d NPPES

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

EDUARDO MONTOYA PSY.D (NPI 1255570131) is an individual clinical provider in Dearborn, Michigan, licensed in Illinois (071007577) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Taylor, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1255570131
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameEDUARDO MONTOYACredential: PSY.D
Location Address18181 OAKWOOD BLVD STE 411Dearborn, MI 48124-4082
Mailing Address26w171 Roosevelt RdWheaton, IL 60187-6078 · (630) 909-7000 · Fax (630) 909-7001
Phone(248) 551-1550
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 17, 2009
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1255570131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007577
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
18181 OAKWOOD BLVD STE 411, Dearborn, MI 48124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Eduardo Montoya Psy.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 ID3870650401
PECOS Enrollment IDI20170201002631
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 3

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
41 services12 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
12 services12 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230270
Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

86.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.8
Promoting Interoperability100
Improvement Activities40
Cost62.21

Other Providers at the Same Location NPPES 2

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

OAKWOOD HEALTHCARE INC
General Acute Care Hospital
18181 OAKWOOD BLVD STE 411
DEARBORN, MI 48124
Wayne County (313) 982-5150
DR. PHILIP T ROSKOS PHD
Clinical Neuropsychologist
18181 OAKWOOD BLVD STE 411
DEARBORN, MI 48124
Wayne County (313) 982-5150

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 Eduardo Montoya's NPI number?

The NPI number for Eduardo Montoya is 1255570131. It was assigned to this individual provider in the NPPES registry on February 17, 2009.

Where is Eduardo Montoya located?

Eduardo Montoya practices at 18181 Oakwood Blvd Ste 411, Dearborn, MI 48124. The listed phone number is (248) 551-1550.

What is Eduardo Montoya's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Eduardo Montoya enrolled in Medicare?

Yes. Eduardo Montoya 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 Eduardo Montoya accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Eduardo Montoya 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 Eduardo Montoya affiliated with any hospitals?

According to CMS data, Eduardo Montoya is affiliated with Beaumont Hospital - Taylor.

When was this NPI record last updated?

The NPPES record for Eduardo Montoya was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.