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ULYSSES PAZ MONTERO M.D.
NPI 1891082962
Hospitalist in Casa Grande, AZ

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
1800 E. FLORENCE BLVD., ATTN: HOSPITALIST TEAM, CASA GRANDE, AZ 85122(480) 543-2034(480) 543-2647 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 28, 2018, Mar 17, 2016 (2 updates tracked since 2016).

About Ulysses Paz Montero M.d. NPPES

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

ULYSSES PAZ MONTERO M.D. (NPI 1891082962) is an individual hospitalist provider in Casa Grande, Arizona, licensed in Arizona (48962) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1891082962
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameULYSSES PAZ MONTEROCredential: M.D.
Location Address1800 E. FLORENCE BLVD., ATTN: HOSPITALIST TEAMCasa Grande, AZ 85122-5303
Mailing Address1800 E. Florence Blvd., Attn: Hospitalist TeamCasa Grande, AZ 85122-5303 · (480) 543-2034 · Fax (480) 543-2647
Phone(480) 543-2034
Fax(480) 543-2647
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 8, 2011
Last NPPES UpdateDecember 28, 20182 updates tracked since enumeration
✔ NPI 1891082962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 48962
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 48962 (AZ)
1800 E. FLORENCE BLVD., Casa Grande, AZ 85122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

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

Ulysses Paz Montero M.d. 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 ID2264652908
PECOS Enrollment IDI20141001001997
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 Reassignments

2

Medicare enrollment records show Ulysses Montero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Hospital Based Physicians Arizona LLC
24 mi
Multi-Specialty
37000 N GANTZEL RD
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1275889891 (480) 543-2034
Banner Cancer Center Specialists LLC
46 mi
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1518253152 (602) 747-4000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
272 services198 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
204 services134 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
123 services120 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims496 services$11.14 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims101 services$281.28 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims101 services$8.05 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims101 services$25.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$13.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier31 claims31 services$62.48 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 4

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

KARTHIK DONUUR M.D.
Hospitalist
1800 E. FLORENCE BLVD., ATTN: HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
DR. SANGRAM SINGH RANDHAWA MD
Hospitalist
1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
DR. ZACHARY A PRATHER M.D.
Family Medicine
1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
DR. CHRISTOPHER JOHN LEBEAU JR. M.D.
Hospitalist
1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034

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 Ulysses Montero's NPI number?

The NPI number for Ulysses Montero is 1891082962. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Ulysses Montero located?

Ulysses Montero practices at 1800 E. Florence Blvd. Attn: Hospitalist Team, Casa Grande, AZ 85122. The listed phone number is (480) 543-2034.

What is Ulysses Montero's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ulysses Montero enrolled in Medicare?

Yes. Ulysses Montero 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 organizations bill Medicare for Ulysses Montero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ulysses Montero reassigns Medicare benefits to 2 organizations: Banner Hospital Based Physicians Arizona LLC (San Tan Valley, AZ) and Banner Cancer Center Specialists LLC (Phoenix, AZ). Each 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 Ulysses Montero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ulysses Montero accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Ulysses Montero 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 Ulysses Montero was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.