CAROLINA M MONTES MD
NPI 1861480980
Pathology - Anatomic Pathology & Clinical Pathology in Alpharetta, GA

Q: What is Carolina Montes's NPI number?

The NPI number for Carolina Montes is 1861480980. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Carolina Montes's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Carolina Montes was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 12, 2005PECOS Enrolled

75/100

CMS Quality Rating

6240 SHILOH RD, ALPHARETTA, GA 30005(855) 422-5628(205) 579-9387 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2022, Apr 4, 2022 (2 updates tracked since 2022).

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About Carolina M Montes Md NPPES

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

CAROLINA M MONTES MD (NPI 1861480980) is an individual anatomic pathology & clinical pathology provider in Alpharetta, Georgia, licensed in Tennessee (47041) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861480980

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameCAROLINA M MONTESCredential: MD

Location Address6240 SHILOH RDAlpharetta, GA 30005-8347

Mailing Address6240 Shiloh RdAlpharetta, GA 30005-8347 · (855) 422-5628 · Fax (205) 579-9387

Phone(855) 422-5628

Fax(205) 579-9387

Sole ProprietorNo

Enumeration DateOctober 12, 2005

Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration

NPPES CertifiedOctober 19, 2022

✔ NPI 1861480980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TN · 47041✔ Licensed in LA · 200780

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 47041 (TN)

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 200780 (LA)

6240 SHILOH RD, Alpharetta, GA 30005

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Other Identifiers 1

Medicaid1582549LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina M Montes 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 Carolina Montes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bakotic Pathology Associates, LLC

Same address

Anatomic Pathology & Clinical Pathology

6240 SHILOH RD
Alpharetta, GA 30005

Reassigned Medicare billing, Georgia enrollment
9 clinicians in this Medicare group

NPI 1275858524 (855) 245-2256

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 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.

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

6,384 services3,406 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

4,554 services4,044 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

1,686 services1,444 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

255 services238 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

116 services75 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

105 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30005 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Other Providers at the Same Location NPPES 11

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

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