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MS. SYLVIA M MONTOYA MD
NPI 1548277403
Family Medicine in Cloudcroft, NM

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
74 JAMES CANYON HIGHWAY, CLOUDCROFT, NM 88317(505) 682-2542(505) 682-3075 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Sylvia M Montoya Md NPPES

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

MS. SYLVIA M MONTOYA MD (NPI 1548277403) is an individual family medicine provider in Cloudcroft, New Mexico, licensed in New Mexico (NM 90-255) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of University Of New Mexico School Of Medicine (1988).

NPPES Registry Identity

NPI1548277403
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. SYLVIA M MONTOYACredential: MD
Location Address74 JAMES CANYON HIGHWAYCloudcroft, NM 88317
Mailing Address223 S Reymond StLas Cruces, NM 88005-2622 · (505) 647-1376
Phone(505) 682-2542
Fax(505) 682-3075
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1988
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548277403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · NM 90-255
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.
74 JAMES CANYON HIGHWAY, Cloudcroft, NM 88317
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Other Identifiers 2

Medicare UPINF08451
Medicaid58366NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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

Ms. Sylvia M Montoya 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 ID6608909486
PECOS Enrollment IDI20100730000143
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
161 services120 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services23 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
20 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88317 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims35 services$5.80 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
1 supplier13 claims13 services$15.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$83.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims33 services$33.47 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers19 claims110 services$2.57 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier43 claims50 services$18.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sylvia Montoya's NPI number?

The NPI number for Sylvia Montoya is 1548277403. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Sylvia Montoya located?

Sylvia Montoya practices at 74 James Canyon Highway, Cloudcroft, NM 88317. The listed phone number is (505) 682-2542.

What is Sylvia Montoya's specialty?

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

Is Sylvia Montoya enrolled in Medicare?

Yes. Sylvia Montoya 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 Sylvia Montoya accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Texas list Sylvia Montoya 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 Sylvia Montoya affiliated with any hospitals?

According to CMS data, Sylvia Montoya is affiliated with Gerald Champion Regional Medical Center and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Sylvia Montoya was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.