SALVADOR ORLANDO MONTENEGRO (MD) – Sports Medicine (Family Medicine) Physician, NPI 1194824243

SALVADOR ORLANDO MONTENEGRO (MD) is a healthcare provider. based in Lakeland, Florida. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME96207 (FL). The NPI Number for SALVADOR ORLANDO MONTENEGRO (MD) is 1194824243

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SALVADOR ORLANDO MONTENEGRO (MD)
NPI
1194824243
Phone
(863) 680-7214
Address
2300 E County Road 540A
Enumeration Date
22 September 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8134435042
Graduation Year
1999 (27 years ago)
PAC ID
7810928801
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20070303000028
Address ID
FL336476201TA17470CTXX400

Contacts

Secure Messaging
smontenegro6685@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

419 SPORTS MEDICINE in FL

Provider Addresses for SALVADOR ORLANDO MONTENEGRO (MD)

  • 2300 E County Road 540A

    Lakeland, FL 338133825

    Phone: (863) 680-7214

    Fax: (866) 264-8519

    Type: Location

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053019

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($20).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070303000028ISports MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg2,68836$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,346392$0
20610Aspiration and/or injection of fluid from large joint576383$0
99203New patient office or other outpatient visit, 30-44 minutes461461$0
99214Established patient office or other outpatient visit, 30-39 minutes367287$0
View full utilization report →

Insurance plans in this area (ZIP 33813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Is there an official ID for SALVADOR ORLANDO MONTENEGRO (MD) in U.S. healthcare records?
The official identifier for SALVADOR ORLANDO MONTENEGRO (MD) is NPI 1194824243.
Is there an active status for SALVADOR ORLANDO MONTENEGRO (MD)?
For scheduling context, SALVADOR ORLANDO MONTENEGRO (MD) is shown as active in the registry.
How would a patient describe SALVADOR ORLANDO MONTENEGRO (MD)'s focus?
For SALVADOR ORLANDO MONTENEGRO (MD), the primary taxonomy reads as Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SALVADOR ORLANDO MONTENEGRO (MD)?
Directory geography for SALVADOR ORLANDO MONTENEGRO (MD) centers on Lakeland, Florida.
Can I trust this NPI listing for SALVADOR ORLANDO MONTENEGRO (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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