Dr. Rafael Montecino, MD

Dr. Montecino practices at Heywood Hospital in Gardner, Massachusetts, part of Heywood Healthcare.

Dr. Montecino's NPI, 1821175316, was assigned on November 1, 2006. Dr. Montecino graduated from Universidad de Panama Faculty of Medicine in 1995. Dr. Montecino holds California license A90183.

Dr. Montecino's primary practice is Heywood Hospital, at 242 Green Street, Gardner, MA 01440 in Worcester County. The practice phone is (978) 632-3420.

Dr. Montecino's primary practice is Heywood Hospital in Gardner, Massachusetts, part of Heywood Healthcare. Dr. Montecino is also affiliated with Athol Hospital. The medical group on file is Heywood Hospital. Dmand AI also links Dr. Montecino to 5 more medical groups, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Montecino practices, 2 sites in all. Vendor and product names are available with a free account.

Surgery is Dr. Montecino's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Montecino is board certified in surgery by the American Board of Surgery. Dmand AI has Dr. Montecino's licenses on file in 4 states: California, Massachusetts, Vermont and New York.

Dmand AI lists abdominal adhesion surgery and groin hernia surgery among the conditions Dr. Montecino treats.

CMS data shows 222 Medicare services from Dr. Montecino across 6 procedure codes in 2024, for 155 Medicare patients. Medicare paid $19,101 for them. Every service was in a facility, such as a hospital, rather than an office.

CMS counts 155 Medicare patients who saw Dr. Montecino in 2024. The largest group is 65 to 74, with 73 patients. 71% of them have high cholesterol, and 66% have high blood pressure. 35% are also on Medicaid. Their average risk score is 1.28, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Montecino's median patient age at 69, with 53% women.

In 2024, Dr. Montecino wrote 17 Medicare Part D claims for 13 patients. 100% of them were for generic drugs. CMS names the drug for 13 of them, across 1 drug with 11 or more claims each, at $184 in total drug cost.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Montecino for performance year 2024, reported through an alternative payment model (APM). Dr. Montecino accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 15 procedures of removal of tissue by Dr. Montecino, more than 66% of the clinicians it reports for that procedure.

Colonoscopy: 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair (minimally invasive): 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)

Dmand AI links 1 paper to Dr. Montecino.

CMS Open Payments shows 14 general payments to Dr. Montecino from 4 drug and device companies from 2023 to 2025. Food and beverage make up the largest share, 63% of the total. TriMed, Inc. paid the most, $2,490.

Dmand AI lists 1 award for Dr. Montecino.

Dr. Montecino graduated from Universidad de Panama Faculty of Medicine in 1995. Dr. Montecino is a member of ACS.

Dr. Montecino is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.