Medicare Enrolled
Dr. Paul Montoya, MD
Family Medicine · Starke, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 · MQA1
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) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,200 | $58 | $151 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,163 | $87 | $219 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
458 | $125 | $205 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
86 | $92 | $333 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
75 | $86 | $213 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
69 | $213 | $488 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
64 | $11 | $40 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
44 | $39 | $108 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
34 | $3 | $16 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
34 | $10 | $42 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
29 | $8 | $40 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
27 | $57 | $217 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
27 | $27 | $83 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
26 | $85 | $218 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
21 | $124 | $415 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
14 | $46 | $164 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
13 | $162 | $333 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
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
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
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 →
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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.
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