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MR. JORGE ANTONIO MONTES M.D.
NPI 1679707269
Ophthalmology in Mcallen, TX

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
4500 N 10TH ST STE 100, MCALLEN, TX 78504(956) 362-2070(956) 362-2074 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2021, Mar 17, 2018, Dec 18, 2017 (3 updates tracked since 2017).

About Mr. Jorge Antonio Montes M.d. NPPES

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

MR. JORGE ANTONIO MONTES M.D. (NPI 1679707269) is an individual ophthalmology provider in Mcallen, Texas, licensed in Texas (P4895) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of University Of Texas Medical School At San Antonio (2009).

NPPES Registry Identity

NPI1679707269
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. JORGE ANTONIO MONTESCredential: M.D.
Location Address4500 N 10TH ST STE 100Mcallen, TX 78504-4692
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-2171 · Fax (956) 362-3614
Phone(956) 362-2070
Fax(956) 362-2074
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2009
Enumeration DateMay 11, 2009
Last NPPES UpdateFebruary 16, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
✔ NPI 1679707269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · P4895
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4500 N 10TH ST STE 100, Mcallen, TX 78504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Mr. Jorge Antonio Montes 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 ID4587803408
PECOS Enrollment IDI20130625000310
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 12

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.
240 services133 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
191 services168 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
114 services90 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
70 services47 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
69 services69 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
63 services44 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%347 patients
Diabetes: Eye Exam
100%1,451 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%1,199 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%78 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%107 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,284 patients
Patients totalRate: 0% · 1,284 patients
0%1,284 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.

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 Montes's NPI number?

The NPI number for Jorge Montes is 1679707269. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Jorge Montes located?

Jorge Montes practices at 4500 N 10th St Ste 100, Mcallen, TX 78504. The listed phone number is (956) 362-2070.

What is Jorge Montes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jorge Montes enrolled in Medicare?

Yes. Jorge Montes 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 Montes accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Jorge Montes 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 Montes affiliated with any hospitals?

According to CMS data, Jorge Montes is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Jorge Montes was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.