MICHELLE MARIE MONTALVO M.D., MPH
NPI 1518329358
Family Medicine in Columbus, GA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
1900 10TH AVE, SUITE 100, COLUMBUS, GA 31901(706) 571-1430 Get Directions Write a Review

NPPES record last updated: July 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Marie Montalvo M.d., Mph NPPES

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

MICHELLE MARIE MONTALVO M.D., MPH (NPI 1518329358) is an individual family medicine provider in Columbus, Georgia, licensed in Georgia (008243) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1518329358
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE MARIE MONTALVOCredential: M.D., MPH
Location Address1900 10TH AVE, SUITE 100Columbus, GA 31901-3600
Mailing Address1900 10th Ave, Suite 100Columbus, GA 31901-3600 · (706) 571-1430
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 22, 2016
Last NPPES UpdateJuly 30, 2016
NPI 1518329358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 008243
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.
1900 10TH AVE, Columbus, GA 31901

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

Michelle Marie Montalvo M.d., Mph 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 ID7315231552
PECOS Enrollment IDI20190909001405
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 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.
381 services124 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.
112 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services96 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.
55 services53 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$15.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers32 claims32 services$85.97 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.

Family Medicine
1900 10TH AVE
COLUMBUS, GA 31901
Obstetrics & Gynecology (Obstetrics)
1900 10TH AVE, SUITE 200
COLUMBUS, GA 31901
Podiatrist
1900 10TH AVE, SUITE 120
COLUMBUS, GA 31901
Podiatrist
1900 10TH AVE, STE 120
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE, SUITE 100
COLUMBUS, GA 31901
Internal Medicine (Infectious Disease)
1900 10TH AVE, SUITE 110
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE, SUITE # 100
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1900 10TH AVE
COLUMBUS, GA 31901

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 Michelle Montalvo's NPI number?

The NPI number for Michelle Montalvo is 1518329358. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Michelle Montalvo located?

Michelle Montalvo practices at 1900 10th Ave Suite 100, Columbus, GA 31901. The listed phone number is (706) 571-1430.

What is Michelle Montalvo's specialty?

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

Is Michelle Montalvo enrolled in Medicare?

Yes. Michelle Montalvo 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 Michelle Montalvo accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Alabama list Michelle Montalvo 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 Michelle Montalvo affiliated with any hospitals?

According to CMS data, Michelle Montalvo is affiliated with St Francis Hospital- Emory Healthcare.

When was this NPI record last updated?

The NPPES record for Michelle Montalvo was last updated on July 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.