CAROL'S BELSAI MONTES-ROUSE MD
NPI 1306226188
Emergency Medicine in French Camp, CA

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
500 W HOSPITAL RD, FRENCH CAMP, CA 95231(209) 468-6428 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2025, Aug 15, 2024, Jul 27, 2021 and 2 more (5 updates tracked since 2021).

About Carol's Belsai Montes-rouse Md NPPES

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

CAROL'S BELSAI MONTES-ROUSE MD (NPI 1306226188) is an individual emergency medicine provider in French Camp, California, licensed in California (A183207) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306226188
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAROL'S BELSAI MONTES-ROUSECredential: MD
Location Address500 W HOSPITAL RDFrench Camp, CA 95231-9693
Mailing Address751 S BascomaveSan Jose, CA 95128-1450 · (818) 257-9082
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2015
Last NPPES UpdateFebruary 25, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1306226188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A183207
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036156308 (IL)
500 W HOSPITAL RD, French Camp, CA 95231

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol's Belsai Montes-rouse Md 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 ID9537558952
PECOS Enrollment IDI20230118002781
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

5

Medicare enrollment records show Carol's Montes-rouse reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
500 W. HOSPITAL RD.
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 534 clinicians in this Medicare group
Emergency Medicine
500 W HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
Internal Medicine
500 HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 512 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
143 N MAIN ST
Milpitas, CA 95035
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1043354020 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
Family Medicine
17615 MORO RD
Prunedale, CA 93907
  • Reassigned Medicare billing, California enrollment
  • 284 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95231 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

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.

Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCHCAMP, CA 95231
Obstetrics & Gynecology
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Family Medicine (Sports Medicine)
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
Surgery
500 W HOSPITAL RD
FRENCH CAMP, CA 95231

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 Carol's Montes-rouse's NPI number?

The NPI number for Carol's Montes-rouse is 1306226188. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Carol's Montes-rouse located?

Carol's Montes-rouse practices at 500 W Hospital Rd, French Camp, CA 95231. The listed phone number is (209) 468-6428.

What is Carol's Montes-rouse's specialty?

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

Is Carol's Montes-rouse enrolled in Medicare?

Yes. Carol's Montes-rouse 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.

Which organizations bill Medicare for Carol's Montes-rouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol's Montes-rouse reassigns Medicare benefits to 5 organizations: County Of San Joaquin (French Camp, CA), Cep America - California (French Camp, CA), San Joaquin Faculty Medical Group (French Camp, CA), County Of Santa Clara (Milpitas, CA) and County Of Monterey (Prunedale, CA). 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 Carol's Montes-rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol's Montes-rouse was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.