MARIBEL MONTOYA MD
NPI 1477591451
Internal Medicine - Endocrinology, Diabetes & Metabolism in Winter Garden, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
213 S DILLARD ST, SUITE 240, WINTER GARDEN, FL 34787(407) 409-8067(407) 409-8068 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maribel Montoya Md NPPES

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

MARIBEL MONTOYA MD (NPI 1477591451) is an individual endocrinology, diabetes & metabolism provider in Winter Garden, Florida, licensed in Florida (ME 84429) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1477591451
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMARIBEL MONTOYACredential: MD
Location Address213 S DILLARD ST, SUITE 240Winter Garden, FL 34787-3522
Mailing Address213 S Dillard St, Suite 240Winter Garden, FL 34787-3522 · (407) 409-8067 · Fax (407) 409-8068
Fax(407) 409-8068
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 11, 2014
NPI 1477591451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in FL · ME 84429
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedSpecialistTaxonomy 174400000X · License ME84429 (FL)
213 S DILLARD ST, Winter Garden, FL 34787

Other Identifiers 9

Other593516436Medical Mutual
Medicare UPINI42490FL
Medicare PIN28028XFL
Other695956Tufts
OtherP00397536FL · Rr Gba Palmetto
Other28028FL · Bcbs Of Florida
Other7194953Mamsi
Other593516436002Tricare
Other773114Mailhandlers

Accepted 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

Maribel Montoya 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 ID7719902782
PECOS Enrollment IDI20051008000162
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 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, 30-39 minutes 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.
1,085 services495 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
281 services133 patients
New patient office or other outpatient visit, 45-59 minutes 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.
79 services79 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
45 services28 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin 95249
Continuous monitoring of blood sugar involves a small sensor inserted under the skin. This sensor measures glucose levels in tissue fluid throughout the day and night, providing real-time readings. It aids in managing diabetes effectively.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
82%383 patients4/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%1,157 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%40 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%571 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%571 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%571 patients1/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers94 claims1,160 services$17.74 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers89 claims2,790 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers18 claims18 services$175.47 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
42 suppliers146 claims564 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers58 claims123 services$1.12 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers111 claims111 services$303.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
213 S DILLARD ST, SUITE 140
WINTER GARDEN, FL 34787
Chiropractor
213 S DILLARD ST, SUITE 130
WINTER GARDEN, FL 34787
Chiropractor
213 S DILLARD ST, SUITE 130
WINTER GARDEN, FL 34787
Clinic/Center (Oral and Maxillofacial Surgery)
213 S DILLARD ST, SUITE 310
WINTER GARDEN, FL 34787
Massage Therapist
213 S DILLARD ST, SUITE 110 G
WINTER GARDEN, FL 34787
Radiology (Diagnostic Ultrasound)
213 S DILLARD ST
WINTER GARDEN, FL 34787
Midwife
213 S DILLARD ST, SUITE 340
WINTER GARDEN, FL 34787
Chiropractor
213 S DILLARD ST, SUITE 13O
WINTER GARDEN, FL 34787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477591451, enumerated as an "individual" on June 03, 2006.

The provider is located at 213 S DILLARD ST SUITE 240 WINTER GARDEN, FL 34787 and the phone number is (407) 409-8067.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to verify.

Maribel Montoya is affiliated with: ORLANDO HEALTH, ADVENTHEALTH ORLANDO, ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL and ADVENTHEALTH WATERMAN.