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DR. ARTURO DELFIN MONTA MD
NPI 1790732089
Internal Medicine in Toms River, NJ

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
19 MULE RD, SUITE C-8, TOMS RIVER, NJ 08755(732) 244-4777(732) 244-4475 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Arturo Delfin Monta Md NPPES

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

DR. ARTURO DELFIN MONTA MD (NPI 1790732089) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (MD 25MA03824900) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1790732089
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ARTURO DELFIN MONTACredential: MD
Location Address19 MULE RD, SUITE C-8Toms River, NJ 08755
Mailing Address19 Mule Rd, Suite C-8Toms River, NJ 08755-5029 · (732) 244-4777 · Fax (732) 244-4475
Phone(732) 244-4777
Fax(732) 244-4475
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1790732089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MD 25MA03824900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19 MULE RD, Toms River, NJ 08755
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arturo Delfin Monta 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 ID3375646730
PECOS Enrollment IDI20070306000226
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Arturo Monta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakehurst Professional Medical Group LLC
Same address
Internal Medicine
25 MULE RD UNIT B8
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1629553565 (732) 240-4000
Vinod Sancheti Mdpa
0.2 mi
Family Medicine
25 MULE RD UNIT B8
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1891820304 (732) 240-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
81 services72 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%309 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%1,936 patients4/55-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.
97%1,778 patients4/55-star benchmark: 100%
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.
99%108 patients4/55-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.
9%613 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
49%364 patients3/55-star benchmark: 90%
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…
97%611 patients5/55-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…
25%613 patients2/55-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…
0%613 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 364 patients
15%364 patients2/55-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 2

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
13 suppliers39 claims98 services$5.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers21 claims27 services$1.02 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 8

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

MARIA DENORSCIO
Physical Therapist
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 505-1300
AMIE GOMEZ DPT
Physical Therapist
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (914) 294-4050
JOSEPH SABOL
Physical Therapist
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (914) 294-4050
XRA, P.A.
Radiology (Diagnostic Radiology)
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 240-1400
AMANDA BRAATEN
Physical Therapist
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 505-1300
CHELSEY TAGGART DPT
Physical Therapist
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 505-1300
A D MONTA MD AND ASSOCIATES PC
Internal Medicine (Nephrology)
19 MULE RD, SUITE C8
TOMS RIVER, NJ 08755
Ocean County (732) 244-4777
OCEAN MEDICAL IMAGING ASSOCIATES
Radiology (Diagnostic Radiology)
19 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 286-6333

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 Arturo Monta's NPI number?

The NPI number for Arturo Monta is 1790732089. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Arturo Monta located?

Arturo Monta practices at 19 Mule Rd Suite C-8, Toms River, NJ 08755. The listed phone number is (732) 244-4777.

What is Arturo Monta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Arturo Monta enrolled in Medicare?

Yes. Arturo Monta 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.

Which organizations bill Medicare for Arturo Monta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arturo Monta reassigns Medicare benefits to 2 organizations: Lakehurst Professional Medical Group LLC (Toms River, NJ) and Vinod Sancheti Mdpa (Toms River, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arturo Monta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arturo Monta accept?

Health plans from Oscar Health list Arturo Monta 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 Arturo Monta was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.