DR. NORMA JEANETTE MONTIEL D.O.
NPI 1265461537
Dermatology in New Hyde Park, NY

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
3 DELAWARE DR, 4 PROHEATH PLAZA, NEW HYDE PARK, NY 11042(516) 608-2830(516) 622-6199 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Norma Jeanette Montiel D.o. NPPES

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

DR. NORMA JEANETTE MONTIEL D.O. (NPI 1265461537) is an individual dermatology provider in New Hyde Park, New York, licensed in New York (219386-1) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1265461537
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. NORMA JEANETTE MONTIELCredential: D.O.
Location Address3 DELAWARE DR, 4 PROHEATH PLAZANew Hyde Park, NY 11042-1116
Mailing Address3 Delaware Dr, 4 Proheath PlazaNew Hyde Park, NY 11042-1116 · (516) 608-2830 · Fax (516) 622-6199
Fax(516) 622-6199
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1999
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 28, 2009
NPI 1265461537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 219386-1
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3 DELAWARE DR, New Hyde Park, NY 11042

Other Names 1

Other Name (5)Mrs. Norma Jeanette Montiel-gelves D.o.

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

Dr. Norma Jeanette Montiel D.o. 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 ID648273243
PECOS Enrollment IDI20060822000196
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 17

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.
1,313 services838 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.
614 services496 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
587 services490 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.
360 services308 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
268 services222 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
265 services162 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Other Providers at the Same Location NPPES 8

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

Physical Therapy Assistant
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Physical Therapist
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Physical Therapist
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Physical Therapist
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Ophthalmology
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Psychiatry & Neurology (Psychiatry)
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Acupuncturist
3 DELAWARE DR
NEW HYDE PARK, NY 11042
Chiropractor
3 DELAWARE DR
NEW HYDE PARK, NY 11042

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 Norma Montiel's NPI number?

The NPI number for Norma Montiel is 1265461537. It was assigned to this individual provider in the NPPES registry on June 30, 2006. The provider is also known as Mrs. Norma Jeanette Montiel-Gelves D.O..

Where is Norma Montiel located?

Norma Montiel practices at 3 Delaware Dr 4 Proheath Plaza, New Hyde Park, NY 11042. The listed phone number is (516) 608-2830.

What is Norma Montiel's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Norma Montiel enrolled in Medicare?

Yes. Norma Montiel 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.

When was this NPI record last updated?

The NPPES record for Norma Montiel was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.