JORGE I. MONTALVAN MD
NPI 1679554596
Internal Medicine in Boca Raton, FL

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
68.1/100
CMS Quality Rating
3848 FAU BLVD, SUITE # 210, BOCA RATON, FL 33431(561) 394-3088(561) 394-3077 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jorge I. Montalvan Md NPPES

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

JORGE I. MONTALVAN MD (NPI 1679554596) is an individual internal medicine provider in Boca Raton, Florida, licensed in New Jersey (25MA5033700) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1679554596
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJORGE I. MONTALVANCredential: MD
Location Address3848 FAU BLVD, SUITE # 210Boca Raton, FL 33431-6437
Mailing Address3848 Fau Blvd, 210Boca Raton, FL 33431-6437 · (561) 394-3088 · Fax (561) 394-3077
Fax(561) 394-3077
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 8, 2005
Last NPPES UpdateMay 25, 2011
NPI 1679554596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NJ · 25MA5033700 Licensed in FL · ME106556 Licensed in NY · 175179 Licensed in NC · 2010-00655
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3848 FAU BLVD, Boca Raton, FL 33431

Other Identifiers 3

Medicare PIN635242NJ
Medicare UPINMC-EB7462FL
Medicare UPINE86448NJ

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

Jorge I. Montalvan 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 ID2668417486
PECOS Enrollment IDI20101209000163
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 41

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.
558 services271 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
503 services271 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.
483 services136 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.
435 services247 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
434 services267 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
409 services255 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33431 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

68.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.02
Promoting Interoperability71
Improvement Activities40
Cost51.03

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$53.76 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$2.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
3848 FAU BLVD, STE 105
BOCA RATON, FL 33431
Physical Therapist
3848 FAU BLVD, STE 105
BOCA RATON, FL 33431
Nurse Practitioner
3848 FAU BLVD, SUITE 305
BOCA RATON, FL 33431
Internal Medicine
3848 FAU BLVD, SUITE 300
BOCA RATON, FL 33431
Radiology (Diagnostic Radiology)
3848 FAU BLVD
BOCA RATON, FL 33431
Family Medicine
3848 FAU BLVD, SUITE # 305
BOCA RATON, FL 33431
Specialist
3848 FAU BLVD, STE 200
BOCA RATON, FL 33431
Psychiatry & Neurology (Neurology)
3848 FAU BLVD, SUITE 305
BOCA RATON, FL 33431

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 Jorge Montalvan's NPI number?

The NPI number for Jorge Montalvan is 1679554596. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Jorge Montalvan located?

Jorge Montalvan practices at 3848 Fau Blvd Suite # 210, Boca Raton, FL 33431. The listed phone number is (561) 394-3088.

What is Jorge Montalvan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jorge Montalvan enrolled in Medicare?

Yes. Jorge Montalvan 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 Jorge Montalvan accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Jorge Montalvan 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 Jorge Montalvan affiliated with any hospitals?

According to CMS data, Jorge Montalvan is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jorge Montalvan was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.