DR. SANDRA ROCIO MONTEZUMA M.D.
NPI 1285798470
Ophthalmology in Plymouth, MN

Q: What is Sandra Montezuma's NPI number?

The NPI number for Sandra Montezuma is 1285798470. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Sandra Montezuma's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Montezuma was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 21, 2006PECOS Enrolled

82.34/100

CMS Quality Rating

3525 PLYMOUTH BLVD STE 207, PLYMOUTH, MN 55447(763) 273-8800(763) 450-9726 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Sandra Rocio Montezuma M.d. NPPES

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

DR. SANDRA ROCIO MONTEZUMA M.D. (NPI 1285798470) is an individual ophthalmology provider in Plymouth, Minnesota, licensed in Minnesota (53409) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1285798470

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. SANDRA ROCIO MONTEZUMACredential: M.D.

Location Address3525 PLYMOUTH BLVD STE 207Plymouth, MN 55447-1384

Mailing Address3525 Plymouth Blvd Ste 207Plymouth, MN 55447-1384 · (763) 273-8800 · Fax (763) 450-9726

Phone(763) 273-8800

Fax(763) 450-9726

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 21, 2006

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1285798470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MN · 53409

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3525 PLYMOUTH BLVD STE 207, Plymouth, MN 55447

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra Rocio Montezuma M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113085895

PECOS Enrollment IDI20110406000809

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.

Medicare Billing Reassignments

Medicare enrollment records show Sandra Montezuma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Specialists Of Minnesota PLLC

Same address

Retina Specialist

3525 PLYMOUTH BLVD STE 207
Plymouth, MN 55447

Reassigned Medicare billing, Minnesota enrollment

NPI 1841135340 (617) 407-2304

Fairview Express Care

4.7 mi

Rehabilitation

9220 BASS LAKE RD, SUITE 260
New Hope, MN 55428

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1316318074 (763) 533-0363

University Of Minnesota Physicians

7.1 mi

Adult Mental Health

5775 WAYZATA BLVD STE 255
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
1,453 clinicians in this Medicare group

NPI 1144368531 (122) 738-7106

Fairview Health Services

12 mi

General Acute Care Hospital

6401 FRANCE AVE S
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1699752915 (952) 924-5000

University Of Minnesota Health Clinics And Surgery Center Inc

13 mi

Anesthesiology

909 FULTON ST SE
Minneapolis, MN 55455

Reassigned Medicare billing, Minnesota enrollment
1,662 clinicians in this Medicare group

NPI 1003485004 (612) 273-8383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

439 services212 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.

199 services144 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

166 services53 patients

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.

125 services93 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

54 services43 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

31 services30 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

27 services21 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

20 services20 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

19 services14 patients

Measurement of retinal and optic nerve function 92273

This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.

18 services17 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.

18 services18 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

15 services13 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

82.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.54

Promoting Interoperability

100

Improvement Activities

Cost

38.17

Other Providers at the Same Location NPPES

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

RETINA SPECIALISTS OF MINNESOTA PLLC

Ophthalmology (Retina Specialist)

3525 PLYMOUTH BLVD STE 207
PLYMOUTH, MN 55447

Hennepin County (617) 407-2304

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 Sandra Montezuma's NPI number?

The NPI number for Sandra Montezuma is 1285798470. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Sandra Montezuma located?

Sandra Montezuma practices at 3525 Plymouth Blvd Ste 207, Plymouth, MN 55447. The listed phone number is (763) 273-8800.

What is Sandra Montezuma's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sandra Montezuma enrolled in Medicare?

Yes. Sandra Montezuma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Montezuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Montezuma reassigns Medicare benefits to 5 organizations: Retina Specialists Of Minnesota PLLC (Plymouth, MN), Fairview Express Care (New Hope, MN), University Of Minnesota Physicians (St Louis Park, MN), Fairview Health Services (Edina, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Montezuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sandra Montezuma affiliated with any hospitals?

According to CMS data, Sandra Montezuma is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Sandra Montezuma was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.