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ANDREW JAMES MONTOURE M.D.
NPI 1407240641
Neurological Surgery in Seattle, WA

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
81.93/100
CMS Quality Rating
325 9TH AVE, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew James Montoure M.d. NPPES

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

ANDREW JAMES MONTOURE M.D. (NPI 1407240641) is an individual neurological surgery provider in Seattle, Washington, licensed in Washington (MD61261453) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Creighton University School Of Medicine (2012).

NPPES Registry Identity

NPI1407240641
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameANDREW JAMES MONTOURECredential: M.D.
Location Address325 9TH AVESeattle, WA 98104-2420
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Phone(206) 520-5000
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2012
Enumeration DateMarch 25, 2015
Last NPPES UpdateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1407240641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in WA · MD61261453
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
325 9TH AVE, Seattle, WA 98104
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Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5400

Other Identifiers 1

Medicaid1407240641WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Andrew James Montoure 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 ID9335579713
PECOS Enrollment IDI20230621002379
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 6

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.

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.
38 services38 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.
28 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services11 patients
Computer-assisted procedure inside brain 61781
A computer-assisted brain procedure uses advanced technology for precise navigation within the brain. A computer creates a 3D model of your brain to help the surgeon accurately target the area needing treatment, improving safety and effectiveness.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

81.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.57
Promoting Interoperability100
Improvement Activities40
Cost60.2

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
72%227 patients3/55-star benchmark: 100%
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.

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.

SANDRA K WALKER ARNP
Nurse Practitioner (Acute Care)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 598-0502
JULIA J VISSER DPT
Physical Therapist
325 9TH AVE, BOX 359920
SEATTLE, WA 98104
King County (206) 744-1675
GENIA J MONCADA
Pharmacist
325 9TH AVE, MAILSTOP 359912
SEATTLE, WA 98104
King County (206) 731-3219
JACQUELINE M. KIM LICSW, MSW
Social Worker (Clinical)
325 9TH AVE, BOX 359760
SEATTLE, WA 98104
King County (206) 744-8511
MS. DIANE E WHEELER MS, PA-C
Physician Assistant (Medical)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-3000
AMELIA V. RIVERA
Physical Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 774-3300
TIMOTHY WILLIAM MENZA MD, PHD
Internal Medicine (Infectious Disease)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 520-5000
DEMETRIOS TEREZAKIS
Occupational Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-6112

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 Andrew Montoure's NPI number?

The NPI number for Andrew Montoure is 1407240641. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Andrew Montoure located?

Andrew Montoure practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Andrew Montoure's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Andrew Montoure enrolled in Medicare?

Yes. Andrew Montoure 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 Andrew Montoure accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Andrew Montoure 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.

When was this NPI record last updated?

The NPPES record for Andrew Montoure was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.