PAUL M MONTOYA (MD) – Family Medicine Physician, NPI 1811901390
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $421 |
| PFIZER INC. | $383 |
| Novo Nordisk Inc | $330 |
| Lilly USA, LLC | $189 |
| GlaxoSmithKline, LLC. | $128 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160224000657 | I | Family Practice | FL | TBD |
| I20230308003018 | I | Family Practice | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,200 | 776 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,163 | 698 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 458 | 458 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 86 | 86 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 75 | 29 | $0 |
Insurance plans in this area (ZIP 34243)
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Provider's Procedures
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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