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JOSE MONTERO DDS
NPI 1356609226
Dentist - Oral and Maxillofacial Surgery in Miami, FL

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
8940 N KENDALL DR STE 604E, MIAMI, FL 33176(305) 595-1905(305) 595-2219 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Nov 10, 2022, Mar 15, 2018 (3 updates tracked since 2018).

About Jose Montero Dds NPPES

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

JOSE MONTERO DDS (NPI 1356609226) is an individual oral and maxillofacial surgery provider in Miami, Florida, licensed in Florida (DN23226) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1356609226
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOSE MONTEROCredential: DDS
Location Address8940 N KENDALL DR STE 604EMiami, FL 33176-2175
Mailing Address8940 N Kendall Dr Ste 604eMiami, FL 33176-2175 · (305) 595-1905 · Fax (305) 595-2219
Phone(305) 595-1905
Fax(305) 595-2219
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 30, 2012
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1356609226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN23226
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License DN23226 (FL)
8940 N KENDALL DR STE 604E, Miami, FL 33176
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Secondary Practice Location 1

Location 11400 NW 12th Ave Ste 2005Miami, FL 33136-1003 · Phone (305) 689-6725 · Fax (305) 689-1133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Jose Montero Dds 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 ID9931446325
PECOS Enrollment IDI20190123002160
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 5

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.
28 services22 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.
25 services20 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.
22 services22 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.
21 services21 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

JOSE MONTERO DDS PA
Dentist (Oral and Maxillofacial Surgery)
8940 N KENDALL DR STE 604E
MIAMI, FL 33176
Miami-Dade County (305) 595-1905
MARISOL CARIDAD ALVAREZ BUILLA
8940 N KENDALL DR STE 604E
MIAMI, FL 33176
Miami-Dade County (305) 595-1905

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 Jose Montero's NPI number?

The NPI number for Jose Montero is 1356609226. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Jose Montero located?

Jose Montero practices at 8940 N Kendall Dr Ste 604E, Miami, FL 33176. The listed phone number is (305) 595-1905.

What is Jose Montero's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jose Montero enrolled in Medicare?

Yes. Jose Montero 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 Jose Montero accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and BEST Life and 14 other insurers list Jose Montero 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 Jose Montero affiliated with any hospitals?

According to CMS data, Jose Montero is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Jose Montero was last updated on November 14, 2022. 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.