MARIA JOSE MONTERO M.D.
NPI 1508218843
Family Medicine in Midland, TX

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
3620 N BIG SPRING ST, MIDLAND, TX 79705(432) 684-4208(432) 682-2427 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2023, Jul 29, 2020, Jul 11, 2016 (3 updates tracked since 2016).

About Maria Jose Montero M.d. NPPES

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

MARIA JOSE MONTERO M.D. (NPI 1508218843) is an individual family medicine provider in Midland, Texas, licensed in Texas (S6692) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Midland Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508218843
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA JOSE MONTEROCredential: M.D.
Location Address3620 N BIG SPRING STMidland, TX 79705-4505
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817 · (432) 221-5960
Fax(432) 682-2427
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 11, 2016
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1508218843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S6692
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 ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License S6692 (TX)
3620 N BIG SPRING ST, Midland, TX 79705

Other Identifiers 1

OtherS6692TX · Texas Medical Board

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

Maria Jose Montero 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 ID3678869427
PECOS Enrollment IDI20200915000997
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 7

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.

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.
306 services155 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
68 services12 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
51 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
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.
22 services22 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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79705 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.31
Promoting Interoperability98
Improvement Activities40
Cost55.11

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%23 patients
Breast Cancer Screening
54%428 patients3/55-star benchmark: 93%
Cervical Cancer Screening
53%717 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
30%575 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
48%894 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
54%663 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
9%343 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%343 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%3,969 patients4/55-star benchmark: 100%
e-Prescribing
100%2,027 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
31%477 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
52%1,774 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
18%1,499 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%2,033 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 1,495 patients
Patients screened: 92% · 1,495 patients
35%175 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
71%935 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%469 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 492 patients
Patients totalRate: 16% · 516 patients
16%516 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3620 N BIG SPRING ST
MIDLAND, TX 79705
Nurse Practitioner (Family)
3620 N BIG SPRING ST
MIDLAND, TX 79705
Family Medicine
3620 N BIG SPRING ST
MIDLAND, TX 79705
Nurse Practitioner (Family)
3620 N BIG SPRING ST
MIDLAND, TX 79705
Family Medicine
3620 N BIG SPRING ST
MIDLAND, TX 79705
Family Medicine
3620 N BIG SPRING ST
MIDLAND, TX 79705

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 Maria Montero's NPI number?

The NPI number for Maria Montero is 1508218843. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Maria Montero located?

Maria Montero practices at 3620 N Big Spring St, Midland, TX 79705. The listed phone number is (432) 684-4208.

What is Maria Montero's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Montero enrolled in Medicare?

Yes. Maria 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 Maria Montero accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Maria 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 Maria Montero affiliated with any hospitals?

According to CMS data, Maria Montero is affiliated with Midland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Maria Montero was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.