FRANCISCO J MONTOYA MD
NPI 1841285343
Internal Medicine - Pulmonary Disease in Tavares, FL

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
1876 NIGHTINGALE LN, TAVARES, FL 32778(352) 742-4447(352) 742-4448 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Francisco J Montoya Md NPPES

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

FRANCISCO J MONTOYA MD (NPI 1841285343) is an individual pulmonary disease provider in Tavares, Florida, licensed in Florida (ME0062930) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1841285343
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameFRANCISCO J MONTOYACredential: MD
Location Address1876 NIGHTINGALE LNTavares, FL 32778-4359
Mailing Address1876 Nightingale LnTavares, FL 32778-4359 · (352) 742-4447 · Fax (352) 742-4448
Fax(352) 742-4448
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJune 23, 2011
NPI 1841285343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME0062930
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME0062930 (FL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME0062930 (FL)
1876 NIGHTINGALE LN, Tavares, FL 32778

Other Identifiers 4

Medicare UPING09640FL
Medicaid250122800FL
Other31642FL · Bcbs
Medicare PIN31642ZFL

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

Francisco J Montoya 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 ID7618935198
PECOS Enrollment IDI20090626000508
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 16

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.
1,211 services829 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.
429 services274 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
128 services128 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
122 services122 patients
Test to measure oxygen level in blood using ear or finger device continuously overnight 94762
This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.
118 services114 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
107 services107 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32778 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Referred Medical Equipment & Supplies CMS DME claims 28

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
19 suppliers878 claims879 services$33.03 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers18 claims44 services$0.73 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers495 claims495 services$76.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
20 suppliers504 claims1,426 services$30.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
22 suppliers670 claims3,646 services$16.64 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
18 suppliers237 claims1,356 services$12.85 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.

Internal Medicine (Pulmonary Disease)
1876 NIGHTINGALE LN
TAVARES, FL 32778
Durable Medical Equipment & Medical Supplies
1876 NIGHTINGALE LN
TAVARES, FL 32778
Internal Medicine (Pulmonary Disease)
1876 NIGHTINGALE LN
TAVARES, FL 32778
Internal Medicine (Pulmonary Disease)
1876 NIGHTINGALE LN
TAVARES, FL 32778
Internal Medicine (Pulmonary Disease)
1876 NIGHTINGALE LN
TAVARES, FL 32778
Nurse Practitioner (Adult Health)
1876 NIGHTINGALE LN
TAVARES, FL 32778
Internal Medicine (Pulmonary Disease)
1876 NIGHTINGALE LN
TAVARES, FL 32778
Internal Medicine (Pulmonary Disease)
1876 NIGHTINGALE LN
TAVARES, FL 32778

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 Francisco Montoya's NPI number?

The NPI number for Francisco Montoya is 1841285343. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Francisco Montoya located?

Francisco Montoya practices at 1876 Nightingale Ln, Tavares, FL 32778. The listed phone number is (352) 742-4447.

What is Francisco Montoya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Francisco Montoya enrolled in Medicare?

Yes. Francisco Montoya 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 Francisco Montoya accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and Wellpoint list Francisco Montoya 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.

Is Francisco Montoya affiliated with any hospitals?

According to CMS data, Francisco Montoya is affiliated with Adventhealth Orlando and Adventhealth Waterman.

When was this NPI record last updated?

The NPPES record for Francisco Montoya was last updated on June 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.