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IRINA MONTES RPA-C
NPI 1780920926
Physician Assistant in Troy, NY

Active since December 17, 2012PECOS EnrolledAccepts Medicare Assignment
2 NEW HAMPSHIRE AVE, TROY, NY 12180(518) 272-0331 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Jun 9, 2020 (2 updates tracked since 2020).

About Irina Montes Rpa-c NPPES

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

IRINA MONTES RPA-C (NPI 1780920926) is an individual physician assistant in Troy, New York, licensed in New York (016280) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780920926
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIRINA MONTESCredential: RPA-C
Location Address2 NEW HAMPSHIRE AVETroy, NY 12180-1764
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Phone(518) 272-0331
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2012
Enumeration DateDecember 17, 2012
Last NPPES UpdateMay 14, 20212 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1780920926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 016280
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2 NEW HAMPSHIRE AVE, Troy, NY 12180
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11220 New Scotland Rd, Suite 103Slingerlands, NY 12159-9386 · Phone (518) 439-4326 · Fax (518) 439-6143
Location 21300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-2680
Location 35 Palisades Dr Ste 100Albany, NY 12205-6433 · Phone (518) 438-4496

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

Irina Montes Rpa-c 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 ID1557500279
PECOS Enrollment IDI20130610000380
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 9

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.
186 services145 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.
95 services84 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
77 services68 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
73 services65 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.
36 services32 patients
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.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
36%546 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
55%110 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,157 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
80%158 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%885 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
88%896 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%885 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
13%885 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%885 patients
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 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers101 claims101 services$33.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers156 claims157 services$78.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers156 claims444 services$27.88 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers93 claims547 services$14.92 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers39 claims224 services$13.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers150 claims150 services$43.26 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 19

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

NICOLE R HUMISTON NP
Nurse Practitioner (Adult Health)
2 NEW HAMPSHIRE AVE
TROY, NY 12180
Rensselaer County (518) 272-0331
RITA A ALOWITZ
Nurse Practitioner
2 NEW HAMPSHIRE AVE
TROY, NY 12180
Rensselaer County (518) 272-0331
MARY ANNELLE COLLINS PA-C
Physician Assistant
2 NEW HAMPSHIRE AVE
TROY, NY 12180
Rensselaer County (518) 272-0331
ALBANY MEDICAL COLLEGE
Psychiatry & Neurology (Neurology)
2 NEW HAMPSHIRE AVE
TROY, NY 12180
Rensselaer County (518) 274-1947
MRS. JESSICA L PLUDRZYNSKI FNP
Nurse Practitioner (Family)
2 NEW HAMPSHIRE AVE
TROY, NY 12180
Rensselaer County (518) 525-8220
PULMONARY AND CRITICAL CARE SERVICES,PC
Internal Medicine (Critical Care Medicine)
2 NEW HAMPSHIRE AVE
TROY, NY 12180
Rensselaer County (518) 272-0331
DAVID ARTHUR STRUMPF MD
Internal Medicine (Critical Care Medicine)
2 NEW HAMPSHIRE AVE, STE 250
TROY, NY 12180
Rensselaer County (518) 272-0331
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Surgery
2 NEW HAMPSHIRE AVE, ST. PETER'S BARIATRIC CARE
TROY, NY 12180
Rensselaer County (518) 591-1121

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 Irina Montes's NPI number?

The NPI number for Irina Montes is 1780920926. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Irina Montes located?

Irina Montes practices at 2 New Hampshire Ave, Troy, NY 12180. The listed phone number is (518) 272-0331.

What is Irina Montes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Irina Montes enrolled in Medicare?

Yes. Irina 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.

Is Irina Montes affiliated with any hospitals?

According to CMS data, Irina Montes is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Irina Montes was last updated on May 14, 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.