Jose Mercado Montalvo, MD
NPI 1912915463 · Pulmonary Disease Physician · Carolina, PR
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Mercado Montalvo, MD is a Pulmonary Disease Physician provider in Carolina, PR (NPI 1912915463).
Provider details
- NPI number
- 1912915463
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11996 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
57 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 57 | $92 |
Typical Medicare-allowed amounts for these services range $92–$92 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 410 | 93 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 191 | 36 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 147 | 28 |
| Fluticasone Propionate | 87 | 34 |
| Levalbuterol Tartratebrand: Levalbuterol Tartrate Hfa | 61 | 20 |
| Montelukast Sodium | 51 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$131 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2012-11-27
Frequently asked questions
- What is Jose Mercado Montalvo's NPI number?
- Jose Mercado Montalvo's National Provider Identifier (NPI) is 1912915463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Mercado Montalvo's specialty?
- Jose Mercado Montalvo is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Jose Mercado Montalvo located?
- Jose Mercado Montalvo's practice location on file with NPPES is Ave. Campo Rico Calle 2 Bloq 1, Carolina, PR 00983.
- What is Jose Mercado Montalvo's phone number?
- The practice phone number listed in the NPPES registry for Jose Mercado Montalvo is (787) 276-5272.
- Does Jose Mercado Montalvo accept Medicare?
- Jose Mercado Montalvo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Mercado Montalvo's NPI active?
- Yes — Jose Mercado Montalvo's NPI (1912915463) is active in the NPPES registry as of the last update on 2012-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.