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DR. MARIA CLAIRE MONGE MD
NPI 1851567556
Internal Medicine - Adolescent Medicine in Austin, TX

Active since May 02, 2008PECOS Enrolled
71.01/100
CMS Quality Rating
5900 BALCONES DR STE 7866, AUSTIN, TX 78731(512) 256-1519 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Maria Claire Monge Md NPPES

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

DR. MARIA CLAIRE MONGE MD (NPI 1851567556) is an individual adolescent medicine provider in Austin, Texas, licensed in Texas (P6469) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851567556
Entity TypeIndividualFemale
Primary Taxonomy207RA0000X
Provider Legal NameDR. MARIA CLAIRE MONGECredential: MD
Location Address5900 BALCONES DR STE 7866Austin, TX 78731-4257
Mailing Address5900 Balcones Dr Ste 7866Austin, TX 78731-4257 · (512) 256-1519
Phone(512) 256-1519
Sole ProprietorNo
Enumeration DateMay 2, 2008
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1851567556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Licenses✔ Licensed in TX · P6469✔ Licensed in MA · 247291
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 141902 (NC), 247291 (MA)
Also ListedPediatricsTaxonomy 208000000X · License 247291 (MA)
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License P6469 (TX)
5900 BALCONES DR STE 7866, Austin, TX 78731
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maria Claire Monge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Maria Monge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
3.8 mi
Pediatrics
1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1326072943 (512) 628-1800

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

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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

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.
96%1,738 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.
99%325 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.
18%650 patients1/55-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…
55%179 patients3/55-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…
80%650 patients4/55-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…
28%650 patients2/55-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.
35%650 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.

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 Maria Monge's NPI number?

The NPI number for Maria Monge is 1851567556. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Where is Maria Monge located?

Maria Monge practices at 5900 Balcones Dr Ste 7866, Austin, TX 78731. The listed phone number is (512) 256-1519.

What is Maria Monge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Maria Monge enrolled in Medicare?

Yes. Maria Monge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Monge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Monge reassigns Medicare benefits to Dell Children's Medical Group (Austin, TX). The 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 Maria Monge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Monge accept?

Health plans from Oscar Insurance Company list Maria Monge 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 Maria Monge was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.