ETHAN TRIPP MONTEMAYOR MD
NPI 1700406337
Surgery in Nashville, TN

Q: What is Ethan Montemayor's NPI number?

The NPI number for Ethan Montemayor is 1700406337. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Q: What is Ethan Montemayor's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Montemayor was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment

4230 HARDING PIKE STE 705, NASHVILLE, TN 37205(615) 385-1547 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Jun 2, 2025, Apr 23, 2020 (3 updates tracked since 2020).

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About Ethan Tripp Montemayor Md NPPES

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

ETHAN TRIPP MONTEMAYOR MD (NPI 1700406337) is an individual surgery provider in Nashville, Tennessee, licensed in Tennessee (74795) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1700406337

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameETHAN TRIPP MONTEMAYORCredential: MD

Location Address4230 HARDING PIKE STE 705Nashville, TN 37205-2013

Mailing Address4230 Harding Pike Ste 705Nashville, TN 37205-2013 · (615) 385-1547

Phone(615) 385-1547

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 2020

Enumeration DateApril 23, 2020

Last NPPES UpdateJune 13, 20253 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1700406337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TN · 74795

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4230 HARDING PIKE STE 705, Nashville, TN 37205

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Secondary Practice Location 1

Location 14220 Harding PikeNashville, TN 37205-2005 · Phone (615) 222-2111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Ethan Tripp Montemayor 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 ID7113438805

PECOS Enrollment IDI20250618003825

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.

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 9

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

DR. DREW HOWARD REYNOLDS M.D.

Surgery