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DR. JORGE MONTES IV MD
NPI 1528540242
Internal Medicine in Edinburg, TX

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
5423 S MCCOLL RD, EDINBURG, TX 78539(956) 362-3575 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Apr 4, 2022, Aug 29, 2018 (3 updates tracked since 2018).

About Dr. Jorge Montes Iv Md NPPES

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

DR. JORGE MONTES IV MD (NPI 1528540242) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (T9452) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2011).

NPPES Registry Identity

NPI1528540242
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JORGE MONTES IVCredential: MD
Location Address5423 S MCCOLL RDEdinburg, TX 78539-9183
Mailing Address5423 S Mccoll RdEdinburg, TX 78539-9183 · (956) 362-3575
Phone(956) 362-3575
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2011
Enumeration DateAugust 29, 2018
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1528540242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · T9452
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5423 S MCCOLL RD, Edinburg, TX 78539
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Jorge Montes Iv 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 ID8224408240
PECOS Enrollment IDI20230106002030
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.

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.
457 services146 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.
102 services91 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.
93 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
89 services32 patients
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.
81 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
59 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

MICHAEL F ROTKO MD
Physical Medicine & Rehabilitation
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 821-5941
MR. DON CHERIAN RAJAN MD
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURGH, TX 78539
Hidalgo County (956) 442-6412
GABRIEL GONZALEZ MD
Surgery (Vascular Surgery)
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-8170
DR. PERCY MAREENA THOMAS MD
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-3515
KARI E WILLIAMS
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 219-4125
LAURA FERNANDA RINCON-RUEDA MD
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-3515
IBRAHIM ODEWALE MD
Student in an Organized Health Care Education/Training Program
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 821-5941
DR. KIRK REEVES DO
Internal Medicine
5423 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-3575

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 Jorge Montes's NPI number?

The NPI number for Jorge Montes is 1528540242. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Jorge Montes located?

Jorge Montes practices at 5423 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 362-3575.

What is Jorge Montes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jorge Montes enrolled in Medicare?

Yes. Jorge Montes 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 Jorge Montes accept?

Health plans from Blue Cross and Blue Shield of Texas list Jorge Montes 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 Jorge Montes affiliated with any hospitals?

According to CMS data, Jorge Montes is affiliated with Knapp Medical Center, Mission Regional Medical Center, Harlingen Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Jorge Montes was last updated on January 11, 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.