ROBERTO CARLOS MONTOYA BARRAZA (MD) – Hematology & Oncology Physician, NPI 1396943635
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
350 HEMATOLOGY/ONCOLOGY in WI
Provider Addresses for ROBERTO CARLOS MONTOYA BARRAZA (MD)
3100 Shore Dr
Marinette, WI 541434242
Phone: (917) 669-6740
Type: Location
3701 ALGONQUIN RD STE 900
ROLLING MEADOWS, IL 600083193
Phone: (847) 577-0620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 211 Open Payments records for all available years, with a total value of $16,967.
Total Amount is formed as General ($16,967) + Research ($0) + Ownership ($0) = $16,967.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($4,351).
Total Amount
$16,967
General + Research + Ownership
Payments
211
Total payment records
General Amount
$16,967
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $4,351 |
| AstraZeneca Pharmaceuticals LP | $2,049 |
| Janssen Biotech, Inc. | $1,950 |
| PUMA BIOTECHNOLOGY, INC. | $1,854 |
| PFIZER INC. | $1,674 |
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: 2017-07-26
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 |
|---|---|---|---|---|
| I20170726003512 | I | Hematology/Oncology | IL | 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 |
|---|---|---|---|---|
| J1439 | Injection, ferric carboxymaltose, 1 mg | 25,500 | 21 | $0 |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 17,250 | 19 | $0 |
| J1627 | Injection, granisetron, extended-release, 0.1 mg | 5,500 | 14 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,735 | 31 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,600 | 462 | $0 |
Insurance plans in this area (ZIP 54143)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | IL | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 163 | 27 |
| HEMATOLOGY/ONCOLOGY | IL | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 121 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Physician Assistant | IL | |
| Medical Oncology, Hematology, Internal Medicine, Hematology/Oncology | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IA | |
| H E M A T O L O G Y/ O N C O L O G Y | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | IL |
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