ALFREDO L MONTELONGO MD
NPI 1497813893
Emergency Medicine in Modesto, CA

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
1700 COFFEE RD, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alfredo L Montelongo Md NPPES

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

ALFREDO L MONTELONGO MD (NPI 1497813893) is an individual emergency medicine provider in Modesto, California, licensed in California (G55720) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1984).

NPPES Registry Identity

NPI1497813893
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameALFREDO L MONTELONGOCredential: MD
Location Address1700 COFFEE RDModesto, CA 95355-2803
Mailing AddressPo Box 12020Westminster, CA 92685-2020 · (888) 556-5621
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1984
Enumeration DateDecember 5, 2006
Last NPPES UpdateMay 7, 2008
NPI 1497813893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · G55720
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.
1700 COFFEE RD, Modesto, CA 95355

Other Identifiers 3

Medicare PIN00G557201CA
Medicaid00G557200CA
Medicare UPINA89991

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

Alfredo L Montelongo 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 ID6507992922
PECOS Enrollment IDI20100324001104
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
190 services180 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
129 services124 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
66 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355

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 Alfredo Montelongo's NPI number?

The NPI number for Alfredo Montelongo is 1497813893. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Alfredo Montelongo located?

Alfredo Montelongo practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 526-4500.

What is Alfredo Montelongo's specialty?

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

Is Alfredo Montelongo enrolled in Medicare?

Yes. Alfredo Montelongo 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.

When was this NPI record last updated?

The NPPES record for Alfredo Montelongo was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.