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DR. JEAN-PAUL MONTOYA MD
NPI 1619081403
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
2 SHIRCLIFF WAY, DEPAUL BUILDING, SUITE 720, JACKSONVILLE, FL 32204(904) 387-5027(904) 387-2208 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jean-paul Montoya Md NPPES

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

DR. JEAN-PAUL MONTOYA MD (NPI 1619081403) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME788835) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of University Of South Florida College Of Medicine (1996).

NPPES Registry Identity

NPI1619081403
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JEAN-PAUL MONTOYACredential: MD
Location Address2 SHIRCLIFF WAY, DEPAUL BUILDING, SUITE 720Jacksonville, FL 32204-4753
Mailing Address2 Shircliff Way, Depaul Building, Suite 720Jacksonville, FL 32204-4753 · (904) 387-5027 · Fax (904) 387-2208
Phone(904) 387-5027
Fax(904) 387-2208
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1996
Enumeration DateAugust 18, 2006
Last NPPES UpdateApril 25, 2014
✔ NPI 1619081403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME788835
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2 SHIRCLIFF WAY, Jacksonville, FL 32204
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Other Identifiers 3

Medicaid263661100FL
Medicare PIN11355ZFL
Medicare UPINH69222FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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

Dr. Jean-paul 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 ID8628154085
PECOS Enrollment IDI20080723000777
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.

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.
1,724 services414 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.
393 services331 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
79 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
15%39 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
13%39 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
29%87 patients2/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%55 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
39%160 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%158 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%160 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%160 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%160 patients
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.

ID ASSOCIATES OF JACKSONVILLE PA
Internal Medicine (Infectious Disease)
2 SHIRCLIFF WAY, STE 610
JACKSONVILLE, FL 32204
Duval County (904) 387-5027
CONSOLIDATED PHARMACY SERVICES
Durable Medical Equipment & Medical Supplies
2 SHIRCLIFF WAY, SUITE 205
JACKSONVILLE, FL 32204
Duval County (904) 308-7220
SUSAN L CATTO ARNP
Nurse Practitioner (Adult Health)
2 SHIRCLIFF WAY, STE 800
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
BRANDON TRUMBLE AGACNP-BC
Nurse Practitioner (Critical Care Medicine)
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MRS. ALLISON WINFREY KOTOWSKI LCSW
Social Worker (Clinical)
2 SHIRCLIFF WAY, STE 800
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
DR. WILLIAM E SUMNER III MD, FACS
Surgery (Surgical Oncology)
2 SHIRCLIFF WAY, SUITE 500
JACKSONVILLE, FL 32204
Duval County (904) 389-8871
SAMER SALAMEKH M.D.
Radiology (Radiation Oncology)
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
MIROSLAV UCHAL MD
Surgery
2 SHIRCLIFF WAY, SUITE 500
JACKSONVILLE, FL 32204
Duval County (904) 389-8861

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 Jean-paul Montoya's NPI number?

The NPI number for Jean-paul Montoya is 1619081403. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Jean-paul Montoya located?

Jean-paul Montoya practices at 2 Shircliff Way Depaul Building, Suite 720, Jacksonville, FL 32204. The listed phone number is (904) 387-5027.

What is Jean-paul Montoya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jean-paul Montoya enrolled in Medicare?

Yes. Jean-paul 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 Jean-paul Montoya accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jean-paul 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 Jean-paul Montoya affiliated with any hospitals?

According to CMS data, Jean-paul Montoya is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Jean-paul Montoya was last updated on April 25, 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.