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MARK MONTERROSO
NPI 1780119743
Emergency Medicine in Visalia, CA

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
400 W MINERAL KING AVE, VISALIA, CA 93291(661) 599-8786 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2019, Apr 27, 2017 (2 updates tracked since 2017).

About Mark Monterroso NPPES

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

MARK MONTERROSO (NPI 1780119743) is an individual emergency medicine provider in Visalia, California, licensed in California (A158668) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780119743
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK MONTERROSO
Location Address400 W MINERAL KING AVEVisalia, CA 93291-6237
Mailing Address400 W Mineral King AveVisalia, CA 93291-6237
Phone(661) 599-8786
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 27, 2017
Last NPPES UpdateNovember 18, 20192 updates tracked since enumeration
✔ NPI 1780119743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A158668
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.
400 W MINERAL KING AVE, Visalia, CA 93291
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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

Mark Monterroso 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 ID1951735935
PECOS Enrollment IDI20191227002101
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
459 services438 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
272 services254 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
151 services143 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
102 services102 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
33 services32 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

STEPHANIE SONGEY
Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
GURSHARNJIT KAUR M.D.
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-4820
GEORGE J MOUSSALLY MSN,ACNP-BC,CCRN
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
DR. MATTHEW KIM M.D.
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2207
VAN NANCY TRINH DO
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-6999
STEVEN ANDREW PLATO II M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2732
MS. DANA MARIE PAULSEN CRNA
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Tulare County (559) 624-2000
HEIDI KRISTEL CORBETT
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000

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 Mark Monterroso's NPI number?

The NPI number for Mark Monterroso is 1780119743. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Mark Monterroso located?

Mark Monterroso practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (661) 599-8786.

What is Mark Monterroso's specialty?

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

Is Mark Monterroso enrolled in Medicare?

Yes. Mark Monterroso 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.

When was this NPI record last updated?

The NPPES record for Mark Monterroso was last updated on November 18, 2019. 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.