Medicare Enrolled

Dr. Paul Montoya, MD

Family Medicine · Starke, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
345 W MADISON ST, Starke, FL 32091
9049645455
In practice since 2006 (19 years)
NPI: 1811901390 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Montoya from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Montoya

Dr. Paul Montoya is a family medicine specialist in Starke, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Montoya performed 3,396 Medicare services across 2,393 unique beneficiaries.

Between the years covered by Open Payments, Dr. Montoya received a total of $9,383 from 52 pharmaceutical and/or device companies across 539 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Montoya is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 10% volume in FL $9,383 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 125680 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
3,396
Medicare services
Top 10% in FL for family medicine
2,393
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~179 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min) 1,200 $58 $151
Office visit, established patient (30-39 min) 1,163 $87 $219
Annual wellness visit, follow-up 458 $125 $205
New patient office visit (45-59 min) 86 $92 $333
Hospital follow-up visit, high complexity 75 $86 $213
Transitional care management services for problem of high complexity 69 $213 $488
Drug injection, under skin or into muscle 64 $11 $40
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 $39 $108
Urinalysis, manual 34 $3 $16
Electrocardiogram (EKG), 12-lead 34 $10 $42
Injection, methylprednisolone acetate, 80 mg 29 $8 $40
New patient office visit (30-44 min) 27 $57 $217
Physician or allowed practitioner re-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 a 27 $27 $83
Hospital discharge management, 30+ min 26 $85 $218
Initial hospital admission, high complexity 21 $124 $415
Joint injection, major joint 14 $46 $164
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 13 $162 $333
Flu vaccine administration 12 $30 $40
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,383
Total received (2018-2024)
Avg $1,340/year across 7 years
Top 5% in FL for family medicine
52
Companies
539
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,383 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,309
2023
$1,708
2022
$784
2021
$757
2020
$740
2019
$1,469
2018
$2,615

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,260
PFIZER INC.
$985
AstraZeneca Pharmaceuticals LP
$719
GlaxoSmithKline, LLC.
$705
Amgen Inc.
$655
Lilly USA, LLC
$555
ABBVIE INC.
$546
Takeda Pharmaceuticals U.S.A., Inc.
$357
Boehringer Ingelheim Pharmaceuticals, Inc.
$339
Exact Sciences Corporation
$216
Janssen Pharmaceuticals, Inc
$210
Merck Sharp & Dohme LLC
$201
Kowa Pharmaceuticals America, Inc.
$198
Bayer Healthcare Pharmaceuticals Inc.
$195
Otsuka America Pharmaceutical, Inc.
$177
Teva Pharmaceuticals USA, Inc.
$166
Merck Sharp & Dohme Corporation
$159
Novartis Pharmaceuticals Corporation
$151
Astellas Pharma US Inc
$140
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$124
AbbVie Inc.
$112
E.R. Squibb & Sons, L.L.C.
$109
SANOFI-AVENTIS U.S. LLC
$103
AbbVie, Inc.
$98
IBSA Pharma Inc.
$90
IDORSIA PHARMACEUTICALS US INC
$88
GE Healthcare
$62
Biohaven Pharmaceutical Holding Company Ltd.
$54
Biohaven Pharmaceuticals, Inc.
$50
Phadia US Inc.
$45
Almatica Pharma LLC
$45
Dexcom, Inc.
$43
Phathom Pharmaceuticals, Inc.
$38
Bayer HealthCare Pharmaceuticals Inc.
$35
INSYS Therapeutics Inc
$33
Allergan Inc.
$32
Relievant Medsystems, Inc.
$26
Hologic Sales and Service, LLC
$24
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$24
Lucid Diagnostics Inc.
$23
Regeneron Healthcare Solutions, Inc.
$22
Abbott Laboratories
$20
GE HEALTHCARE
$17
Radius Health, Inc.
$16
Amarin Pharma Inc.
$16
Ethicon US, LLC
$16
Shire North American Group Inc
$16
Synergy Pharmaceuticals Inc
$15
Coloplast Corp
$14
Lundbeck LLC
$13
Currax Pharmaceuticals LLC
$12
Allergan, Inc.
$12
Top 3 companies account for 31.6% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · APTIMA · AREXVY · Aimovig · Androgel · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · CAPLYTA · CHANTIX · CONTRAVE · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · EMPLICITI · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · GRALISE · INVOKANA · ImmunoCAP · Intracept · JANUVIA · JARDIANCE · KISQALI · Kerendia · LINX Reflux Management System · LINZESS · LOREEV XR · Levemir · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Macrilen · Myrbetriq · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Restorelle · Rybelsus · SHINGRIX · SOLIQUA · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNDROS · SYNTHROID · Synthroid · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Xultophy 100/3.6
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for family medicine in FL.

Equivalent to $276 per 100 Medicare services performed
Looking for a family medicine specialist in Starke?
Compare family medicine physicians in the Starke area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
209
Per 100K population
749.4
County median income
$59,740
Nearest hospital
ASCENSION ST VINCENT'S CLAY COUNTY
17.2 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Montoya is a clinical cardiology specialist, with above-average Medicare volume (top 10% in FL), with low-engagement industry engagement in the top 5% of FL peers, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Montoya experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Montoya performed 1,200 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Montoya receive payments from pharmaceutical companies?
Yes. Dr. Montoya received a total of $9,383 from 52 companies across 539 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Montoya's costs compare to other family medicine physicians in Starke?
Dr. Montoya's average Medicare payment per service is $80. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Montoya) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →