2026 NPPES data Dermatopathology Physician NPI 1861480980 MD
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CAROLINA MONTES, MD

Dermatopathology Physician in ALPHARETTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

CAROLINA MONTES, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average.

75/100
MIPS score · -8 vs avg
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CAROLINA MONTES, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CAROLINA MONTES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CAROLINA MONTES, MD?

Below national average

NPI registry status

Active

Issued 10/12/2005

NPI 1861480980

Primary specialty

Dermatopathology Physician

Niche

570 US NPIs in this specialty

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Dermatopathology Physician compares to other specialties among Georgia providers

Georgia providers

Dermatopathology Physician share within Georgia

1. Dermatopathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatopathology Physician share within Georgia

Medicare quality performance — MIPS

CAROLINA MONTES, MD's 2023 MIPS final score plotted against the Dermatopathology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatopathology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Dermatopathology Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CAROLINA MONTES, MD appears in the CMS NPPES registry as a Dermatopathology Physician provider holding MD credentials at 6240 SHILOH RD, ALPHARETTA, GA, 30005, with a listed phone of (855) 422-5628. NPI 1861480980 was issued on 10/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MONTES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Dermatopathology Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Dermatopathology Physician is a narrow specialty nationwide, with 570 enrolled providers across 48 states and an average of 650 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

6240 SHILOH RD
ALPHARETTA, GA 30005

Provider Details

NPI 1861480980
Specialty Dermatopathology Physician
Credentials MD
Gender Female
NPI Issued 10/12/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where CAROLINA MONTES, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BAKOTIC PATHOLOGY ASSOCIATES, LLC
ALPHARETTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Dermatopathology Physician Overview

How CAROLINA MONTES, MD fits within the Dermatopathology Physician landscape nationally.

570
Dermatopathology Physician Providers in US
48
States with Dermatopathology Physician
650
Avg Claims per Provider

Nearby Dermatopathology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as MONTES.

Compare Dermatopathology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLINA MONTES, MD's specialty?
CAROLINA MONTES, MD specializes in Dermatopathology Physician and practices in ALPHARETTA, Georgia. Credentials: MD.
What is CAROLINA MONTES, MD's Medicare quality score?
CAROLINA MONTES, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLINA MONTES, MD located?
CAROLINA MONTES, MD is located at 6240 SHILOH RD, ALPHARETTA, GA, 30005. Phone: (855) 422-5628.
What is CAROLINA MONTES, MD's NPI number?
CAROLINA MONTES, MD's National Provider Identifier (NPI) is 1861480980, issued on 10/12/2005.
How many Dermatopathology Physician providers are there in the US?
There are 570 Dermatopathology Physician providers across 48 states in the US. The average Dermatopathology Physician provider writes 650 Medicare Part D claims per year.
Does CAROLINA MONTES, MD accept Medicare?
CAROLINA MONTES, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINA MONTES, MD's credentials?
CAROLINA MONTES, MD's NPI is 1861480980 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology