ERIKA MONTOYA M.D.
NPI 1386934008
Family Medicine in Berwyn, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 14, 2011PECOS EnrolledAccepts Medicare Assignment

6201 ROOSEVELT RD, BERWYN, IL 60402(708) 386-0845(708) 386-8472 Get Directions Write a Review

NPPES record last updated: December 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2019, Mar 27, 2018 (2 updates tracked since 2018).

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About Erika Montoya M.d. NPPES

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

ERIKA MONTOYA M.D. (NPI 1386934008) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036134800) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1386934008

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameERIKA MONTOYACredential: M.D.

Location Address6201 ROOSEVELT RDBerwyn, IL 60402-1108

Mailing Address6201 Roosevelt RdBerwyn, IL 60402-1108 · (708) 386-0845 · Fax (708) 386-8472

Phone(708) 386-0845

Fax(708) 386-8472

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 14, 2011

Last NPPES UpdateDecember 26, 20192 updates tracked since enumeration

✔ NPI 1386934008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036134800

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6201 ROOSEVELT RD, Berwyn, IL 60402

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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

Erika Montoya M.d. 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 ID5294954319

PECOS Enrollment IDI20220322001771

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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.

13 services13 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

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