ANTHONY M. MONTOYA MD
NPI 1659344364
Emergency Medicine in Worcester, MA

Active since February 12, 2006PECOS Enrolled
55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINE, WORCESTER, MA 01655(508) 421-1400(508) 421-1490 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Anthony M. Montoya Md NPPES

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

ANTHONY M. MONTOYA MD (NPI 1659344364) is an individual emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (227836) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659344364
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY M. MONTOYACredential: MD
Location Address55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINEWorcester, MA 01655-0002
Mailing Address32 Otsego RdWorcester, MA 01609-1736
Fax(508) 421-1490
Sole ProprietorNo
Enumeration DateFebruary 12, 2006
Last NPPES UpdateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1659344364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 227836
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony M. Montoya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Anthony Montoya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
827 LINDEN AVE
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 234 clinicians in this Medicare group
Urgent Care
36 S PACA ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 108 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Montoya's NPI number?

The NPI number for Anthony Montoya is 1659344364. It was assigned to this individual provider in the NPPES registry on February 12, 2006.

Where is Anthony Montoya located?

Anthony Montoya practices at 55 Lake Ave N Department Of Emergency Medicine, Worcester, MA 01655. The listed phone number is (508) 421-1400.

What is Anthony Montoya's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anthony Montoya enrolled in Medicare?

Yes. Anthony Montoya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthony Montoya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Montoya reassigns Medicare benefits to 2 organizations: University Of Maryland Emergency Medicine Associates, PA (Baltimore, MD) and University Of Maryland Midtown Health Inc (Baltimore, MD). Each 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 Montoya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anthony Montoya was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.