Doctor profile · Federal record
Dr. Paul Montoya, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Starke, FL
- NPI 1811901390
- Accepts Medicare
- MIPS 78.8 / 100 · 2023
- 21 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
345 W Madison St
Starke, FL 320913923
(904) 964-5455
fax (904) 964-4099
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- April 25, 2025
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Florida #ME125680 · Nebraska #24166
- Medicaid (7)
- NE #47068731734 · FL #015967300 · NE #10025238700 · IA #1811901390 · NE #10025464000 · NE #47068731741 · NE #47068731749
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811901390. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,396
Distinct HCPCS
10
Medicare allowed
$368,921
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 1,200 | 776 | $89 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 1,163 | 698 | $125 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 458 | 458 | $125 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 86 | 86 | $165 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 75 | 29 | $118 | |
99496 |
Transitional care management services for problem of high complexity | 69 | 63 | $269 | |
96372 |
Injection of drug or substance under skin or into muscle | 64 | 28 | $14 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 44 | 35 | $51 | |
81002 |
Urinalysis, manual test | 34 | 31 | $3 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 34 | 34 | $14 |
In context: peer comparison
Among 3 peers in Starke Family Medicine Physician, average services per provider: 154. This provider delivers 22× the peer median.Open Payments
Industry payments received
All-time total
$1,309
Transactions
60
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 10 | $214.59 | |
| Pfizer INC. | 11 | $206.99 | |
| Novo Nordisk INC | 7 | $132.62 | |
| Bayer Healthcare Pharmaceuticals INC. | 5 | $104.88 | |
| Exact Sciences Corporation | 3 | $89.84 | |
| Astellas Pharma US INC | 4 | $88.92 | |
| GlaxoSmithKline, LLC. | 4 | $84.01 | |
| Lilly USA, LLC | 4 | $76.59 | |
| Amgen INC. | 3 | $55.89 | |
| Otsuka America Pharmaceutical, INC. | 2 | $49.98 | |
| Phathom Pharmaceuticals, INC. | 2 | $37.81 | |
| AstraZeneca Pharmaceuticals Lp | 2 | $27.00 | |
| Hologic Sales and Service, LLC | 1 | $24.29 | |
| Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) | 1 | $23.91 | |
| Dexcom, INC. | 1 | $21.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
5,309
Patients
1,793
Total drug cost
$70,953
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 917 | 271 | $12,707 |
| Amlodipine Besylate | Generic | 625 | 198 | $5,404 |
| Lisinopril | Generic | 567 | 173 | $5,609 |
| Levothyroxine Sodium | Generic | 533 | 167 | $7,988 |
| Alprazolam | Generic | 358 | 87 | $2,001 |
| Rosuvastatin Calcium | Generic | 323 | 105 | $5,883 |
| Prednisone | Generic | 304 | 271 | $795 |
| Metoprolol Succinate | Generic | 257 | 77 | $5,194 |
| Metformin Hcl | Generic | 240 | 70 | $2,055 |
| Valsartan | Generic | 214 | 63 | $8,323 |
Hospital affiliations
Frequently asked questions
What is Dr. Paul Montoya's medical specialty?
Dr. Paul Montoya practices Family Medicine Physician in Starke, FL.
Where does Dr. Paul Montoya practice?
Dr. Paul Montoya practices at 345 W Madison St, Starke, FL 320913923. Office phone: 9049645455.
What is Dr. Paul Montoya's NPI?
Dr. Paul Montoya's National Provider Identifier (NPI) is 1811901390, issued by NPPES.
Does Dr. Paul Montoya accept Medicare assignment?
Yes. Dr. Paul Montoya accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Montoya commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.