NPI registry status
Active
2026 NPPES data Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician NPI 1295922516 M.D.
Verify on CMS → Teodoro Montoya, M.D.
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in El Paso, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 621 in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, 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
475
Medicare Part D claims · 164 beneficiaries · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician avg: 661
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$69.07
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Teodoro Montoya, M.D. filed 475 Medicare Part D claims in 2024 as a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in El Paso, Texas, prescribing 70% generic.
- 475
- Part D claims, 2024
- 70%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥61st
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Teodoro Montoya, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1295922516), first enumerated 10/01/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 475 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$69.07 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Teodoro Montoya, M.D.'s individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1295922516 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1295922516
- ENUM-MID 2007
- TAX-NARROW 621
- RX-LIGHT 475
- BOOK-THIN 41 in Texas
- PHOTO-ENUM William Rush · 2007
Teodoro Montoya, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
475 ≥ 61st percentile 61% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Teodoro Montoya, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Teodoro Montoya, M.D.?
Quality data not reportedPrimary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Medicare Part D claims
475 28% vs specialty avg
Specialty distribution in Texas
How Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1295922516 |
|---|---|
| Specialty | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/01/2007 |
Hospital and facility affiliations
Facilities where Teodoro Montoya, M.D. 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.
Texas Tech University Health Sciences Center EL Paso
El Paso, TX
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 Teodoro Montoya, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$69
Largest payer
Boston Scientific Corporation
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Teodoro Montoya, M.D.. To verify Teodoro Montoya, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Teodoro Montoya, M.D. - brand share 30.0%
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician average
30% brand-name claims vs 70% generic, on 475 2024 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 2024.
475
Total Claims
$103K
Total Drug Cost
164
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 925.867
- Total Day Supply
- 25,145
- Brand vs Generic
- 30% brand / 70% generic
- Brand Drug Cost
- $90K
- Generic Drug Cost
- $13K
- Opioid Claims
- 27 (5.7% rate)
- Antibiotic Claims
- 86
Patient Demographics
- Average Patient Age
- 74.2 years
- Avg HCC Risk Score
- 1.57
- Age Distribution
- <65: 11, 65-74: 82, 75-84: 54, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Teodoro Montoya, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxybutynin Chlorid…
Oxybutynin Chloride Er
134 claims
- Myrbetriq
Myrbetriq
79 claims
- Premarin 31
Premarin
31 claims
- Cefuroxime 23
Cefuroxime
23 claims
- Nitrofurantoin Mon… 21
Nitrofurantoin Mono-Macro
21 claims
- Hydrocodone-Acetam… 20
Hydrocodone-Acetaminophen
20 claims
- Triamcinolone Acet… 20
Triamcinolone Acetonide
20 claims
- Nitrofurantoin 14
Nitrofurantoin
14 claims
| Drug | Claims |
|---|---|
| Oxybutynin Chloride Er Oxybutynin Chloride | 134 |
| Myrbetriq Mirabegron | 79 |
| Premarin Estrogens, Conjugated | 31 |
| Cefuroxime Cefuroxime Axetil | 23 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 21 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 20 |
| Triamcinolone Acetonide | 20 |
| Nitrofurantoin Nitrofurantoin Macrocrystal | 14 |
| Gemtesa Vibegron | 13 |
| Solifenacin Succinate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in TX →
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Compare specialties →
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Overview
How Teodoro Montoya, M.D. fits within the Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician landscape nationally.
621
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in US
50
States with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
661
Avg Claims per Provider
Teodoro Montoya, M.D.'s 475 claims are below the specialty average of 661.
Nationwide Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Montoya, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Montoya.
One of 41 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers enrolled in Texas, 5 are shown here.
Frequently Asked Questions
What is Teodoro Montoya, M.D.'s specialty? ▼
Teodoro Montoya, M.D. specializes in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician and practices in El Paso, Texas. Credentials: M.D..
How much does Teodoro Montoya, M.D. prescribe under Medicare Part D? ▼
In 2024, Teodoro Montoya, M.D. wrote 475 Medicare Part D claims totaling $103K in drug costs for 164 beneficiaries.
Where is Teodoro Montoya, M.D. located? ▼
Teodoro Montoya, M.D. is located at 4801 ALBERTA AVE, El Paso, TX, 79905. Phone: (915) 215-5000.
What is Teodoro Montoya, M.D.'s NPI number? ▼
Teodoro Montoya, M.D.'s National Provider Identifier (NPI) is 1295922516, issued on 10/01/2007.
Does Teodoro Montoya, M.D. prescribe more brand-name or generic drugs? ▼
Teodoro Montoya, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $90K in brand drug costs.
Does Teodoro Montoya, M.D. prescribe opioids? ▼
Yes, Teodoro Montoya, M.D. had 27 opioid claims in 2024 with an opioid prescribing rate of 5.7%.
How many Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers are there in the US? ▼
There are 621 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers across 50 states in the US. The average Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician provider writes 661 Medicare Part D claims per year.
What drugs does Teodoro Montoya, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Teodoro Montoya, M.D.'s most frequently prescribed drugs include Oxybutynin Chloride Er, Myrbetriq, Premarin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Teodoro Montoya, M.D. accept Medicare? ▼
Teodoro Montoya, M.D. appears in CMS Medicare data with 475 Part D claims and 164 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Teodoro Montoya, M.D.'s credentials? ▼
Teodoro Montoya, M.D.'s NPI is 1295922516 with credentials M.D.. 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
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 August 2026.