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DR. RAYMOND R MONTOYA II DPM
NPI 1275829954
Podiatrist in Chicago, IL

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST STE 2230, CHICAGO, IL 60611(312) 926-6000(312) 926-8267 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, Oct 3, 2018 (2 updates tracked since 2018).

About Dr. Raymond R Montoya Ii Dpm NPPES

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

DR. RAYMOND R MONTOYA II DPM (NPI 1275829954) is an individual podiatrist in Chicago, Illinois, licensed in Illinois (016005559) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Glenview.

NPPES Registry Identity

NPI1275829954
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. RAYMOND R MONTOYA IICredential: DPM
Location Address259 E ERIE ST STE 2230Chicago, IL 60611-3370
Mailing Address259 E Erie St Ste 2230Chicago, IL 60611-3370 · (312) 926-6000 · Fax (312) 926-8267
Phone(312) 926-6000
Fax(312) 926-8267
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2014
Enumeration DateJune 21, 2011
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1275829954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016005559
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 135000730 (IL)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 016005559 (IL)
259 E ERIE ST STE 2230, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 12050 Pfingsten Rd Ste 190Glenview, IL 60026-1377 · Phone (847) 724-4644 · Fax (847) 724-4688

Other Identifiers 1

Medicaid364322013IL

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. Raymond R Montoya Ii Dpm 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 ID6204052814
PECOS Enrollment IDI20140716002290
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 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.
829 services404 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
292 services292 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.
110 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
52 services12 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%163 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%340 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%363 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
74%148 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers15 claims30 services$61.54 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers13 claims74 services$37.47 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

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

MARIANE PAGAS
Registered Nurse
259 E ERIE ST STE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000

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 Raymond Montoya's NPI number?

The NPI number for Raymond Montoya is 1275829954. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Raymond Montoya located?

Raymond Montoya practices at 259 E Erie St Ste 2230, Chicago, IL 60611. The listed phone number is (312) 926-6000.

What is Raymond Montoya's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Raymond Montoya enrolled in Medicare?

Yes. Raymond 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.

Is Raymond Montoya affiliated with any hospitals?

According to CMS data, Raymond Montoya is affiliated with Palos Community Hospital, Presence Saint Joseph Hospital - Chicago and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Montoya was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.