JAMES J MONTESINOS M.D.
NPI 1568431682
Radiology - Diagnostic Radiology in Albuquerque, NM

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109(505) 332-6900(505) 332-6921 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James J Montesinos M.d. NPPES

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

JAMES J MONTESINOS M.D. (NPI 1568431682) is an individual diagnostic radiology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2009-0455) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1988).

NPPES Registry Identity

NPI1568431682
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES J MONTESINOSCredential: M.D.
Location Address4411 THE 25 WAY NE, SUITE 150Albuquerque, NM 87109-5857
Mailing Address4411 The 25 Way Ne, Suite 150Albuquerque, NM 87109-5857 · (505) 332-6900 · Fax (505) 332-6921
Fax(505) 332-6921
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1988
Enumeration DateMarch 14, 2006
Last NPPES UpdateMarch 13, 2014
NPI 1568431682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NM · MD2009-0455
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4411 THE 25 WAY NE, Albuquerque, NM 87109

Other Identifiers 4

Medicare UPINF72738NY
Medicaid73931772NM
Medicaid01444393NY
Medicare PINNM302188NM

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

James J Montesinos 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 ID840187233
PECOS Enrollment IDI20090817000293
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 53

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
486 services475 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
384 services362 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
313 services215 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
282 services268 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
232 services180 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
213 services208 patients

Hospital Affiliations CMS Care Compare 5

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

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Presbyterian Santa Fe Medical Center

Acute Care Hospitals · Santa Fe, NM
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320090
Location4801 Beckner RoadSanta Fe, NM 87507 · Santa Fe 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 87109 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
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Nurse Practitioner (Psychiatric/Mental Health)
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Social Worker
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, STE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109

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 James Montesinos's NPI number?

The NPI number for James Montesinos is 1568431682. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is James Montesinos located?

James Montesinos practices at 4411 The 25 Way NE Suite 150, Albuquerque, NM 87109. The listed phone number is (505) 332-6900.

What is James Montesinos's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Montesinos enrolled in Medicare?

Yes. James Montesinos 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 James Montesinos accept?

Health plans from Blue Cross and Blue Shield of Texas list James Montesinos 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 James Montesinos affiliated with any hospitals?

According to CMS data, James Montesinos is affiliated with Presbyterian Espanola Hospital, Presbyterian Hospital, Plains Regional Medical Center, Presbyterian Santa Fe Medical Center and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for James Montesinos was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.