MS. LOUISA M TOLENTINO MD
NPI 1770583296
Family Medicine in Montgomery, AL

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
93.15/100
CMS Quality Rating
470 TAYLOR RD STE 310, MONTGOMERY, AL 36117(334) 747-4322(334) 747-4321 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Jul 21, 2022, Sep 14, 2017 (3 updates tracked since 2017).

About Ms. Louisa M Tolentino Md NPPES

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

MS. LOUISA M TOLENTINO MD (NPI 1770583296) is an individual family medicine provider in Montgomery, Alabama, licensed in Alabama (20286) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1770583296
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. LOUISA M TOLENTINOCredential: MD
Location Address470 TAYLOR RD STE 310Montgomery, AL 36117-7130
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Fax(334) 747-4321
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 27, 2005
Last NPPES UpdateJanuary 5, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1770583296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 20286
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.
470 TAYLOR RD STE 310, Montgomery, AL 36117

Other Identifiers 4

Other511-94653AL · Bcbs Of Alabama
Medicaid201935AL
OtherG1139AL · Viva Health
Other1770583296AL · Npi

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

Ms. Louisa M Tolentino 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 ID2365535879
PECOS Enrollment IDI20101216000364
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 13

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.
566 services236 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
91 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
87 services87 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
87 services87 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
85 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
84 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

93.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.28
Promoting Interoperability100
Improvement Activities40
Cost88.91

Reported Quality Measures

Breast Cancer Screening
88%503 patients4/55-star benchmark: 93%
Cervical Cancer Screening
24%348 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
74%796 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
62%669 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
28%223 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
10%223 patients4/55-star benchmark: 91%
e-Prescribing
96%2,468 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%572 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 63% · 1,127 patients
Patients screened: 63% · 1,127 patients
91%47 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
80%700 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims25 services$5.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims18 services$12.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers27 claims27 services$78.73 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$21.22 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$40.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$185.03 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 10

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

Family Medicine
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Nurse Practitioner (Adult Health)
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Internal Medicine
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Nurse Practitioner
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117
Family Medicine
470 TAYLOR RD STE 310
MONTGOMERY, AL 36117

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 Louisa Tolentino's NPI number?

The NPI number for Louisa Tolentino is 1770583296. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Louisa Tolentino located?

Louisa Tolentino practices at 470 Taylor Rd Ste 310, Montgomery, AL 36117. The listed phone number is (334) 747-4322.

What is Louisa Tolentino's specialty?

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

Is Louisa Tolentino enrolled in Medicare?

Yes. Louisa Tolentino 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 Louisa Tolentino accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Louisa Tolentino 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.

When was this NPI record last updated?

The NPPES record for Louisa Tolentino was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.