KRYSTALYNA MONTANO – Physician Assistant, NPI 1477030989
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
780 PHYSICIAN ASSISTANT in RI
Provider Addresses for KRYSTALYNA MONTANO
1526 Atwood Ave Ste 200
Johnston, RI 029193289
Phone: (401) 404-2975
Type: Location
791 1/2 EL CENTRO RD
EL SOBRANTE, CA 948031705
Phone: (510) 374-9802
Type: Mailing
West Hospital Road, French Camp, San Joaquin County, California, 95231, United States
FRENCH CAMP, CA 952319693
Phone: (209) 468-7173
Type: Location
609 E Orangeburg Ave Ste 201
Modesto, CA 953505512
Phone: (510) 374-9802
Type: Location
450 N GRAHAM ST
PORTLAND, OR 972271682
Phone: (503) 413-4488
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Innovation Technologies Inc ($125).
Total Amount
$156
General + Research + Ownership
Payments
2
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $125 |
| STEELHEAD SURGICAL INC | $31 |
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: 2024-08-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190404000799 | I | Physician Assistant | CA | TBD |
| I20211201002136 | I | Physician Assistant | OR | TBD |
| I20240828001508 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 74 | 15 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 37 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02919)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Critical Care (Intensivists) | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR |
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