Raul Montalvo, M.D.
NPI 1518967488 · Family Medicine Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Montalvo, M.D. is a Family Medicine Physician provider in Modesto, CA (NPI 1518967488).
Provider details
- NPI number
- 1518967488
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A64247 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
291 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 64 | $130 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 30 | $131 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 29 | $15 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 13 | $16 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 174 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 931 | 310 |
| Levothyroxine Sodium | 535 | 151 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 530 | 93 |
| Lisinopril | 522 | 158 |
| Metformin Hcl | 506 | 178 |
| Losartan Potassium | 439 | 142 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Raul Montalvo's NPI number?
- Raul Montalvo's National Provider Identifier (NPI) is 1518967488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raul Montalvo's specialty?
- Raul Montalvo is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Montalvo located?
- Raul Montalvo's practice location on file with NPPES is 1541 Florida Ave Ste 200, Modesto, CA 95350-4438.
- What is Raul Montalvo's phone number?
- The practice phone number listed in the NPPES registry for Raul Montalvo is (209) 577-3388.
- Does Raul Montalvo accept Medicare?
- Raul Montalvo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raul Montalvo's NPI active?
- Yes — Raul Montalvo's NPI (1518967488) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.