DR. ANTHONY MONTEMURO M.D.
NPI 1578597902
Internal Medicine - Gastroenterology in Smyrna, TN

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
99.9/100
CMS Quality Rating
300 STONECREST BLVD, SUITE 455, SMYRNA, TN 37167(615) 223-6606(615) 223-6629 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Anthony Montemuro M.d. NPPES

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

DR. ANTHONY MONTEMURO M.D. (NPI 1578597902) is an individual gastroenterology provider in Smyrna, Tennessee, licensed in Tennessee (37451) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Stonecrest Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1989).

NPPES Registry Identity

NPI1578597902
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ANTHONY MONTEMUROCredential: M.D.
Location Address300 STONECREST BLVD, SUITE 455Smyrna, TN 37167-5688
Mailing Address397 Wallace Rd, Suite 103Nashville, TN 37211-4854 · (615) 831-5422 · Fax (615) 831-7128
Fax(615) 223-6629
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1989
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 10, 2022
✔ NPI 1578597902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · 37451
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
300 STONECREST BLVD, Smyrna, TN 37167

Other Identifiers 1

Medicaid3725636TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Montemuro 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 ID3678556289
PECOS Enrollment IDI20040617001289
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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Montemuro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
397 WALLACE RD, SUITE 103
Nashville, TN 37211
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
65 services64 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
54 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
46 services45 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.
33 services24 patients
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.
31 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

99.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.8
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
75%530 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
72%225 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,161 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
94%313 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
65%962 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%185 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 331 patients
Patients totalRate: 0% · 331 patients
0%331 patients5/55-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 20

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

Internal Medicine
300 STONECREST BLVD, SUITE 250
SMYRNA, TN 37167
Speech-Language Pathologist
300 STONECREST BLVD, STE 375
SMYRNA, TN 37167
Internal Medicine
300 STONECREST BLVD, SUITE 200
SMYRNA, TN 37167
Psychiatry & Neurology (Neurology)
300 STONECREST BLVD, SUITE 365
SMYRNA, TN 37167
Family Medicine
300 STONECREST BLVD, SUITE 100
SMYRNA, TN 37167
Occupational Therapist
300 STONECREST BLVD, SUITE 375
SMYRNA, TN 37167
Obstetrics & Gynecology
300 STONECREST BLVD
SMYRNA, TN 37167
Pharmacy (Community/Retail Pharmacy)
300 STONECREST BLVD, STE 130
SMYRNA, TN 37167

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 Anthony Montemuro's NPI number?

The NPI number for Anthony Montemuro is 1578597902. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Anthony Montemuro located?

Anthony Montemuro practices at 300 Stonecrest Blvd Suite 455, Smyrna, TN 37167. The listed phone number is (615) 223-6606.

What is Anthony Montemuro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anthony Montemuro enrolled in Medicare?

Yes. Anthony Montemuro 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.

Which organization bills Medicare for Anthony Montemuro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Montemuro reassigns Medicare benefits to Gastroenterology Specialists Of Middle Tennessee LLC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Montemuro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Montemuro accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Anthony Montemuro 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 Anthony Montemuro affiliated with any hospitals?

According to CMS data, Anthony Montemuro is affiliated with Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Montemuro was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.