PAUL M MONTOYA (MD) – Family Medicine Physician, NPI 1811901390

PAUL M MONTOYA (MD) is a healthcare provider. based in Sarasota, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 24166 (NE). The NPI Number for PAUL M MONTOYA (MD) is 1811901390

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
PAUL M MONTOYA (MD)
NPI
1811901390
Phone
(941) 917-4675
Address
5350 UNIVERSITY PKWY STE 101
Enumeration Date
28 July 2006
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9049645455
Graduation Year
2005 (21 years ago)
PAC ID
7315048667
Group Practice PAC ID
0143207704
Professional Enrollment ID
I20160224000657
Address ID
FL320913923ST345XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for PAUL M MONTOYA (MD)

  • University Parkway, Sarasota, Sarasota County, Florida, 34234, United States

    SARASOTA, FL 342435813

    Phone: (941) 917-4675

    Fax: (941) 917-4688

    Type: Location

  • 345 W MADISON ST

    STARKE, FL 320913923

    Phone: (904) 964-5455

    Fax: (904) 964-4099

    Type: Mailing

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328863407

    Phone: (941) 917-2600

    Fax: (941) 917-8774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 151 Open Payments records for all available years, with a total value of $3,017.

Total Amount is formed as General ($3,017) + Research ($0) + Ownership ($0) = $3,017.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($421).

Total Amount

$3,017

General + Research + Ownership

Payments

151

Total payment records

General Amount

$3,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2023-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160224000657IFamily PracticeFLTBD
I20230308003018IFamily PracticeAZTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,200776$0
99214Established patient office or other outpatient visit, 30-39 minutes1,163698$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit458458$0
99204New patient office or other outpatient visit, 45-59 minutes8686$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7529$0
View full utilization report →

Insurance plans in this area (ZIP 34243)

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Provider's Procedures

PAUL M MONTOYA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL85610Blood test, clotting time8624
FAMILY MEDICINEFL90670Pneumococcal vaccine for injection into muscle5151

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: 0143207704View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I use this page to confirm PAUL M MONTOYA (MD)'s NPI?
Yes. PAUL M MONTOYA (MD) is listed with NPI 1811901390 in the public NPI dataset.
Is PAUL M MONTOYA (MD) listed as active for patients and plans?
The listing shows PAUL M MONTOYA (MD) as active in the NPI system.
What healthcare role does PAUL M MONTOYA (MD) hold?
Scheduling teams often label PAUL M MONTOYA (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does PAUL M MONTOYA (MD) list a practice location?
Patients near Sarasota, Florida may find PAUL M MONTOYA (MD) in results; validate coverage separately.
Is the information about PAUL M MONTOYA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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