JORDAN MONTOYA (MD) – Dermatology Physician, NPI 1073199972
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for JORDAN MONTOYA (MD)
3265 NE RALPH POWELL RD
LEES SUMMIT, MO 640642301
Phone: (816) 454-3424
Fax: (816) 524-4929
Type: Mailing
3901 RAINBOW BLVD
KANSAS CITY, KS 661608500
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,721.
Total Amount is formed as General ($1,721) + Research ($0) + Ownership ($0) = $1,721.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($562).
Total Amount
$1,721
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,721
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $562 |
| GENZYME CORPORATION | $531 |
| Janssen Scientific Affairs, LLC | $138 |
| E.R. Squibb & Sons, L.L.C. | $131 |
| UCB, Inc. | $107 |
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: 2025-07-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250725003015 | I | Dermatology | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64064)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MO | |
| Plastic And Reconstructive Surgery | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | WI | |
| Physician Assistant | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.