MAURICIO DANIEL CARBALLO MONTERO MD
NPI 1508173568
Internal Medicine - Gastroenterology in Dayton, OH

Q: What is Mauricio Carballo Montero's NPI number?

The NPI number for Mauricio Carballo Montero is 1508173568. It was assigned to this individual provider in the NPPES registry on September 10, 2010. The provider is also known as Mauricio Daniel Carballo MD.

Q: What is Mauricio Carballo Montero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since September 10, 2010PECOS EnrolledAccepts Medicare Assignment

96.14/100

CMS Quality Rating

10863 MARIAM LN, DAYTON, OH 45458(937) 545-1539 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Jun 26, 2020, Nov 8, 2016 (3 updates tracked since 2016).

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About Mauricio Daniel Carballo Montero Md NPPES

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

MAURICIO DANIEL CARBALLO MONTERO MD (NPI 1508173568) is an individual gastroenterology provider in Dayton, Ohio, licensed in Ohio (35.138586) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508173568

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMAURICIO DANIEL CARBALLO MONTEROCredential: MD

Location Address10863 MARIAM LNDayton, OH 45458-6412

Mailing Address10863 Mariam LnDayton, OH 45458-6412 · (937) 545-1539

Phone(937) 545-1539

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 10, 2010

Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1508173568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35.138586

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

10863 MARIAM LN, Dayton, OH 45458

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Other Names 1

Professional Name (2)Mauricio Daniel Carballo Md

Other Identifiers 1

Medicaid0396368OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual 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

Mauricio Daniel Carballo Montero 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 ID6305090564

PECOS Enrollment IDI20200605000732

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 15

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.

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.

346 services177 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.

190 services171 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

43 services42 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

41 services38 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

33 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services20 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

28 services28 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

23 services20 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

22 services22 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

19 services17 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

15 services13 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

13 services13 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360368

Location600 West Main StreetTroy, OH 45373 · Miami County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

96.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

87.13

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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 Mauricio Carballo Montero's NPI number?

The NPI number for Mauricio Carballo Montero is 1508173568. It was assigned to this individual provider in the NPPES registry on September 10, 2010. The provider is also known as Mauricio Daniel Carballo MD.

Where is Mauricio Carballo Montero located?

Mauricio Carballo Montero practices at 10863 Mariam Ln, Dayton, OH 45458. The listed phone number is (937) 545-1539.

What is Mauricio Carballo Montero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mauricio Carballo Montero enrolled in Medicare?

Yes. Mauricio Carballo 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 Mauricio Carballo Montero accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare and Oscar Insurance Corporation of Ohio list Mauricio Carballo 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 Mauricio Carballo Montero affiliated with any hospitals?

According to CMS data, Mauricio Carballo Montero is affiliated with Miami Valley Hospital, Kettering Health Dayton and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Mauricio Carballo Montero was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.