2026 NPPES data Specialist NPI 1245255793 MD
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Liliana Montoya, MD

Specialist in Port Charlotte, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 823 beneficiaries · Specialist avg: 1K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.8/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$1.1K
49 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Liliana Montoya, MD reported a CMS MIPS final score of 96.8/100 - above the 83.1 national average - and filed 4,973 Medicare Part D claims in 2023.

96.8/100
MIPS score · +14 vs avg
5K
Part D claims, 2023
89%
generic prescribing
$1.1K
industry payments (Sunshine Act)

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.

Liliana Montoya, MD's MIPS score vs every scored U.S. clinician

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

97 Top 17% higher than 83% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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

Where Liliana Montoya, MD sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Liliana Montoya, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 84% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Liliana Montoya, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Liliana Montoya, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2006

NPI 1245255793

Primary specialty

Specialist

High-volume

69,608 US NPIs in this specialty

Medicare Part D claims

4,973 237% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

96.8/100 13.7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Specialist compares to other specialties among Florida providers

Florida providers
Behavior Technician16.1%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.2%Student in an Organized Heal…3.8%Physical Therapist3.1%Specialist0.8%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Liliana Montoya, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
96.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 96.8/100 vs national avg 83.1

0%100%National avg83%96.8%
MIPS final score (Specialist) - 96.8/100 vs national avg 83.1
How MIPS and board certification work

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).

Liliana Montoya, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 4161 TAMIAMI TRL, Port Charlotte, FL, 33952, with a listed phone of (941) 764-0800. NPI 1245255793 was issued on 07/13/2006.

Medicare Part D records for calendar year 2023 show 4,973 prescription claims written by this provider, covering 823 Medicare beneficiaries and totaling roughly $2.1 million in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.8/100 for the 2023 performance year (Quality 90.9), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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

4161 TAMIAMI TRL
Port Charlotte, FL 33952

Provider Details

NPI 1245255793
Specialty Specialist
Credentials MD
Gender Female
NPI Issued 07/13/2006

CMS Quality Score (MIPS)

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

96.7558
Final Score
Avg: 83.1
90.8597
Quality
97
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Liliana Montoya, 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.

Neurology PA
Port Charlotte, FL
Rehabilitation Associates Inc
Fairfield, CT

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

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Liliana Montoya, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Liliana Montoya, MD. To verify Liliana Montoya, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Liliana Montoya, MD - brand share 10.0%
Specialist average

10% brand-name claims vs 89% generic, on 4,973 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,973
Total Claims
$2.1M
Total Drug Cost
823
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,971
Total Day Supply
295,286
Brand vs Generic
10% brand / 89% generic
Brand Drug Cost
$1.8M
Generic Drug Cost
$327K
Opioid Claims
12 (0.2% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.73
Gender Split
60% female / 40% male
Age Distribution
<65: 92, 65-74: 279, 75-84: 322, 85+: 130

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Liliana Montoya, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Donepezil Hcl
545
Memantine Hcl
462
Gabapentin
291
Carbidopa-Levodopa
Carbidopa/Levodopa
217
Sertraline Hcl
173
Levetiracetam
171
Primidone
145
Baclofen
125
Divalproex Sodium
115
Trazodone Hcl
102

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How Liliana Montoya, MD fits within the Specialist landscape nationally.

69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Liliana Montoya, MD's 4,973 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Florida

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

Compare Specialist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Liliana Montoya, MD's specialty?
Liliana Montoya, MD specializes in Specialist and practices in Port Charlotte, Florida. Credentials: MD.
How much does Liliana Montoya, MD prescribe under Medicare Part D?
In 2023, Liliana Montoya, MD wrote 4,973 Medicare Part D claims totaling $2.1M in drug costs for 823 beneficiaries.
What is Liliana Montoya, MD's Medicare quality score?
Liliana Montoya, MD has a CMS MIPS Final Score of 96.8/100 (Quality: 90.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Liliana Montoya, MD located?
Liliana Montoya, MD is located at 4161 TAMIAMI TRL, Port Charlotte, FL, 33952. Phone: (941) 764-0800.
What is Liliana Montoya, MD's NPI number?
Liliana Montoya, MD's National Provider Identifier (NPI) is 1245255793, issued on 07/13/2006.
Does Liliana Montoya, MD prescribe more brand-name or generic drugs?
Liliana Montoya, MD's prescribing is 10% brand-name and 89% generic drugs by claim count, with $1.8M in brand drug costs.
Does Liliana Montoya, MD prescribe opioids?
Yes, Liliana Montoya, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 0.2%.
How many Specialist providers are there in the US?
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Liliana Montoya, MD prescribe most often?
Based on 2023 Medicare Part D data, Liliana Montoya, MD's most frequently prescribed drugs include Donepezil Hcl, Memantine Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Liliana Montoya, MD accept Medicare?
Liliana Montoya, MD appears in CMS Medicare data with 4,973 Part D claims and 823 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Liliana Montoya, MD's credentials?
Liliana Montoya, MD's NPI is 1245255793 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

View source datasets and methodology notes
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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.