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DR. MARY-JOY MONSALUD MD
NPI 1649216763
Family Medicine in Sebring, FL

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
3101 MEDICAL WAY, SEBRING, FL 33870(863) 314-0020(863) 314-0024 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2026, Dec 12, 2025, Dec 11, 2023 and 3 more (6 updates tracked since 2022).

About Dr. Mary-joy Monsalud Md NPPES

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

DR. MARY-JOY MONSALUD MD (NPI 1649216763) is an individual family medicine provider in Sebring, Florida, licensed in Florida (ME137398) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649216763
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY-JOY MONSALUDCredential: MD
Location Address3101 MEDICAL WAYSebring, FL 33870-5548
Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774 · Fax (863) 314-0224
Phone(863) 314-0020
Fax(863) 314-0024
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 20, 2006
Last NPPES UpdateJanuary 9, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1649216763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME137398
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.
3101 MEDICAL WAY, Sebring, FL 33870
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Other Names 1

Former Name (1)Mary-joy R Monsalud-wallace Md

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).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. Mary-joy Monsalud 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 ID244288090
PECOS Enrollment IDI20221207000979
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 8

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.

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.
185 services85 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.
179 services82 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
97 services70 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.
26 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

IKE I LEE MD
Internal Medicine (Geriatric Medicine)
3101 MEDICAL WAY
SEBRING, FL 33870
Highlands County (863) 402-0909
ANYA KHAN APRN
Nurse Practitioner (Gerontology)
3101 MEDICAL WAY
SEBRING, FL 33870
Highlands County (863) 314-0020
DR. JEANIE O LEE DAOM
Acupuncturist
3101 MEDICAL WAY, SUITE 2
SEBRING, FL 33870
Highlands County (863) 386-5050
ORIENTAL MEDICAL CLINIC OF FLORIDA
Acupuncturist
3101 MEDICAL WAY, SUITE 2
SEBRING, FL 33870
Highlands County (863) 386-5050

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 Mary-joy Monsalud's NPI number?

The NPI number for Mary-joy Monsalud is 1649216763. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Mary-Joy R Monsalud-Wallace MD.

Where is Mary-joy Monsalud located?

Mary-joy Monsalud practices at 3101 Medical Way, Sebring, FL 33870. The listed phone number is (863) 314-0020.

What is Mary-joy Monsalud's specialty?

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

Is Mary-joy Monsalud enrolled in Medicare?

Yes. Mary-joy Monsalud 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 Mary-joy Monsalud accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mary-joy Monsalud 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 Mary-joy Monsalud affiliated with any hospitals?

According to CMS data, Mary-joy Monsalud is affiliated with Hca Florida Highlands Hospital and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Mary-joy Monsalud was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.