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

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
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: July 26, 2026.

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

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 and is a graduate of Other (1988).

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
Fax(205) 579-9387
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
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

Other Identifiers 1

Medicaid1582549LA

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

Carolina M Montes 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 ID1951380187
PECOS Enrollment IDI20180711001853
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 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.

Clinical Medical Laboratory
6240 SHILOH RD
ALPHARETTA, GA 30005
Pathology (Anatomic Pathology & Clinical Pathology)
6240 SHILOH RD
ALPHARETTA, GA 30005
Clinical Medical Laboratory
6240 SHILOH RD
ALPHARETTA, GA 30005
Pathology (Anatomic Pathology & Clinical Pathology)
6240 SHILOH RD
ALPHARETTA, GA 30005
Pathology (Dermatopathology)
6240 SHILOH RD
ALPHARETTA, GA 30005
Pathology (Anatomic Pathology & Clinical Pathology)
6240 SHILOH RD
ALPHARETTA, GA 30005
Pathology (Dermatopathology)
6240 SHILOH RD
ALPHARETTA, GA 30005
Pathology (Anatomic Pathology)
6240 SHILOH RD
ALPHARETTA, GA 30005

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 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.

Where is Carolina Montes located?

Carolina Montes practices at 6240 Shiloh Rd, Alpharetta, GA 30005. The listed phone number is (855) 422-5628.

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.

Is Carolina Montes enrolled in Medicare?

Yes. Carolina 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.

When was this NPI record last updated?

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