Anthony Michael Montefusco IV

  • Los Gatos, CA
  • Emergency medicine physician
NPI1104817972PAC ID4284676024
Medicare services, 2024
665
Medicare patients, 2024
566
Part D claims, 2024
268
MIPS score, 2024
97
Hospital affiliations
1
Practice address
815 Pollard Rd, Los Gatos, CA 95032
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Cancer Center Los Gatos - HOPD

Acute Care Hospital outpatient department · Los Gatos, California

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Anthony Michael Montefusco IV is an emergency medicine physician in Los Gatos, California

Anthony Montefusco practices at Cancer Center Los Gatos - HOPD in Los Gatos, California.

Anthony Montefusco's NPI, 1104817972, was assigned on November 2, 2005. Anthony Montefusco graduated from Saint Louis University School Of Medicine in 1994. Anthony Montefusco holds California license A65978.

NPI and contact details
Medicare PAC ID
4284676024
NPI enumeration date
November 2, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
58
Medical school graduation
1994

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Anthony Michael Montefusco IV practices at Cancer Center Los Gatos - HOPD in Los Gatos, California

Anthony Montefusco's primary practice is Cancer Center Los Gatos - HOPD, at 815 Pollard Rd, Los Gatos, CA 95032.

  • Cancer Center Los Gatos - HOPD
    815 Pollard Rd, Los Gatos, CA 95032

Source: Dmand AI Affiliation Data

Anthony Michael Montefusco IV is affiliated with 4 sites of care and 3 medical groups

Anthony Montefusco's primary practice is Cancer Center Los Gatos - HOPD in Los Gatos, California. Anthony Montefusco is also affiliated with El Camino Health - Mountain View Hospital. The medical group on file is Vituity. Dmand AI also links Anthony Montefusco to 2 more group practices and clinics and 2 medical groups, each named with a free account.

See all 7 affiliations for Anthony Montefusco

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Anthony Michael Montefusco IV's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Anthony Montefusco practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Cancer Center Los Gatos - HOPDAvailable with a free account
+3 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Anthony Michael Montefusco IV is one of 7,423 emergency medicine physicians in California

Emergency medicine is Anthony Montefusco's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Anthony Montefusco is board certified in emergency medicine by the American Board of Emergency Medicine. Dmand AI has Anthony Montefusco's licenses on file in 2 states: California and Louisiana.

Specialties and state licenses

  • Emergency medicine, CaliforniaPrimaryLicense A65978 · 1998 to 2026 · taxonomy 207P00000X
  • Louisiana license1995 to 2003

Emergency medicine physicians near Anthony Montefusco

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Anthony Michael Montefusco IV billed Medicare for 665 services in 2024

CMS data shows 665 Medicare services from Anthony Montefusco across 6 procedure codes in 2024, for 566 Medicare patients. Medicare paid $81,600 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024665
Medicare patients566
Paid by Medicare$81,600
Procedure codes6

Anthony Montefusco's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 6822024: 57715%
Tests and treatments
2023: 712024: 693%
Imaging
2023: 772024: 1975%

Anthony Montefusco compared with the California median for emergency medicine physicians, 2024

  • Anthony Montefusco
  • California median
Medicare services
665vs 2652.5 times
Medicare patients
566vs 2432.3 times
Part D claims
109vs 6276% above

Medians across 7,079 emergency medicine physicians in California with Dmand AI profiles that report each measure.

Anthony Montefusco's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Anthony Montefusco

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Anthony Michael Montefusco IV treated 566 Medicare patients in 2024, average age 79

CMS counts 566 Medicare patients who saw Anthony Montefusco in 2024. The largest group is 75 to 84, with 195 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 19% are also on Medicaid. Their average risk score is 1.63, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Anthony Montefusco's median patient age at 55, with 59% women.

Medicare patients, 2024566
Average age79
Average risk score1.63
Also on Medicaid19%

Anthony Montefusco's Medicare patients by age, 2024

Anthony Montefusco's Medicare patients by sex, 2024

  • Women32257%
  • Men24443%

Chronic conditions among Anthony Montefusco's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis53%
  4. Ischemic heart disease38%
  5. Chronic kidney disease32%
  6. Atrial fibrillation30%
  7. Mood disorders29%
  8. Diabetes28%

Share of Medicare patients with each condition. A patient can have several.

Anthony Montefusco's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 55

Patient panel by sex, all payers

  • Women59%
  • Men40%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Anthony Michael Montefusco IV wrote 268 Medicare Part D claims in 2024

In 2024, Anthony Montefusco wrote 268 Medicare Part D claims for 204 patients. 91% of them were for generic drugs. CMS names the drug for 109 of them, across 4 drugs with 11 or more claims each, at $525 in total drug cost. In 2023, CMS named 132 claims across 5 drugs.

Part D claims, 2024268
Drugs named by CMS4
Total drug cost$525
Part D patients204

Anthony Montefusco's Part D claims by kind of drug, 2024

  • Generic244 claims91%
  • Brand-name and other24 claims9%

Anthony Montefusco's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Anthony Montefusco's Part D claims, 2024

  • Opioids14%38 of 268 claims
  • Antibiotics40%106 of 268 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1322024: 10917%

Drugs named by CMS: 4 in 2024, 5 in 2023.

See all prescribing by Anthony Montefusco

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Anthony Michael Montefusco IV scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Anthony Montefusco for performance year 2024, reported as part of a group. Anthony Montefusco accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Anthony Montefusco's MIPS scores, performance year 2024

  • 97of 100Final score
  • 90of 100Quality
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Anthony Michael Montefusco IV graduated from Saint Louis University School Of Medicine

Anthony Montefusco graduated from Saint Louis University School Of Medicine in 1994.

  1. Medical schoolSaint Louis University School Of Medicine
  2. Board certified in emergency medicineAmerican Board of Emergency Medicine

Source: Dmand AI Professional Profile Data

Anthony Michael Montefusco IV accepts plans from 6 insurance carriers

Anthony Montefusco is in network with 6 carriers, including United Healthcare, Aspirus Health Plan and Blue Cross and Blue Shield of Kansas City. PPO plans come from the most carriers, 3. Check the plan with the practice before a visit.

  • United Healthcare
  • Aspirus Health Plan
  • Blue Cross and Blue Shield of Kansas City
  • CMS Medicare
  • Elevance
  • HCSC

Plan types Anthony Montefusco accepts, by number of carriers

  1. PPO3
  2. Medicare2
  3. POS2
  4. EPO1
  5. HMO1

Source: Dmand AI Insurance Network Data

Sources for Anthony Michael Montefusco IV's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Anthony Michael Montefusco IV

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Anthony Michael Montefusco IV's NPI number?

Anthony Michael Montefusco IV's NPI number is 1104817972. It was assigned on November 2, 2005, and it is active in the NPI Registry.

What does Anthony Michael Montefusco IV specialize in?

Anthony Michael Montefusco IV is an emergency medicine physician in Los Gatos, California. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Anthony Michael Montefusco IV practice?

Anthony Montefusco practices at 815 Pollard Rd, Los Gatos, CA 95032. Anthony Montefusco's primary practice is Cancer Center Los Gatos - HOPD in Los Gatos, California. Dmand AI also links Anthony Montefusco to 2 group practices and clinics and 2 medical groups.

What is Anthony Michael Montefusco IV's medical license number?

Anthony Montefusco holds California license A65978, one of the licenses on file in 2 states.

Which states has Anthony Michael Montefusco IV been licensed in?

Dmand AI has state licenses on file for Anthony Montefusco in California (1998 to 2026) and Louisiana (1995 to 2003).

Which hospitals is Anthony Michael Montefusco IV affiliated with?

Anthony Montefusco is affiliated with El Camino Health - Mountain View Hospital.

What medical group is Anthony Michael Montefusco IV part of?

Anthony Montefusco is linked to Vituity. Dmand AI links Anthony Montefusco to 2 more medical groups.

Does Anthony Michael Montefusco IV accept Medicare?

Yes. CMS data shows Anthony Montefusco billed Medicare for 665 services in 2024, and Anthony Montefusco accepts Medicare assignment.

What is Anthony Michael Montefusco IV's MIPS score?

Anthony Montefusco's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.

How many Medicare patients does Anthony Michael Montefusco IV see?

CMS counts 566 Medicare patients who saw Anthony Montefusco in 2024, with an average age of 79.

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Is Anthony Michael Montefusco IV board certified?

Yes. Anthony Montefusco is board certified in emergency medicine by the American Board of Emergency Medicine.

What services does Anthony Michael Montefusco IV bill to Medicare?

In 2024, Anthony Montefusco's most billed Medicare services were emergency department visit (99285), emergency department visit (99284) and heart test or procedure (93010).

Where did Anthony Michael Montefusco IV go to medical school?

Anthony Montefusco graduated from Saint Louis University School Of Medicine in 1994.

What drugs does Anthony Michael Montefusco IV prescribe most?

In 2024 Medicare Part D data, Anthony Montefusco's most prescribed drugs by claims were Cephalexin, Hydrocodone-Acetaminophen and Ondansetron ODT.

How long has Anthony Michael Montefusco IV been practicing?

Anthony Montefusco graduated from medical school in 1994, 32 years ago.

What insurance does Anthony Michael Montefusco IV accept?

Anthony Montefusco is in network with 6 carriers, including United Healthcare, Aspirus Health Plan and Blue Cross and Blue Shield of Kansas City. PPO plans come from the most carriers, 3. Check the plan with the practice before a visit.

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