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MARK A MONTANO MD
NPI 1871577619
Specialist in Newport Beach, CA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
520 SUPERIOR AVE STE 200, NEWPORT BEACH, CA 92663(949) 779-2736(949) 449-8282 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark A Montano Md NPPES

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

MARK A MONTANO MD (NPI 1871577619) is an individual specialist in Newport Beach, California and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1871577619
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK A MONTANOCredential: MD
Location Address520 SUPERIOR AVE STE 200Newport Beach, CA 92663-3642
Mailing AddressPo Box 78148Corona, CA 92877-0138 · (951) 245-6137 · Fax (951) 245-5317
Phone(949) 779-2736
Fax(949) 449-8282
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1871577619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
520 SUPERIOR AVE STE 200, Newport Beach, CA 92663
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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

Mark A Montano 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 ID6305842352
PECOS Enrollment IDI20061013000442
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 Mark Montano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montano Neurology Care Group
Same address
Neurology
520 SUPERIOR AVE STE 200
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
NPI 1699410282 (949) 726-9798

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 7

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 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.
323 services153 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.
68 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
34 services17 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
17 services17 patients

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

Breast Cancer Screening
0%82 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
27%83 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
0%162 patients1/55-star benchmark: 88%
Dementia: Cognitive Assessment
0%47 patients
Documentation of Current Medications in the Medical Record
77%675 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%328 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%316 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%627 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 209 patients
0%209 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%55 patients4/55-star benchmark: 91%
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.

Other Providers at the Same Location NPPES 3

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

C PHILIP O CARROLL M D INC
Neurological Surgery
520 SUPERIOR AVE STE 200
NEWPORT BEACH, CA 92663
Orange County (949) 662-6661
MONTANO NEUROLOGY CARE GROUP
Psychiatry & Neurology (Neurology)
520 SUPERIOR AVE STE 200
NEWPORT BEACH, CA 92663
Orange County (949) 726-9798
WOMEN'S CENTER FOR UROGYNECOLOGY & ROBOTIC SURGERY INC
Urology (Urogynecology and Reconstructive Pelvic Surgery)
520 SUPERIOR AVE STE 200
NEWPORT BEACH, CA 92663
Orange County (949) 706-2500

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 Mark Montano's NPI number?

The NPI number for Mark Montano is 1871577619. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Mark Montano located?

Mark Montano practices at 520 Superior Ave Ste 200, Newport Beach, CA 92663. The listed phone number is (949) 779-2736.

What is Mark Montano's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Montano enrolled in Medicare?

Yes. Mark Montano 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 organization bills Medicare for Mark Montano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Montano reassigns Medicare benefits to Montano Neurology Care Group (Newport Beach, CA). 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 Mark Montano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Montano was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.