Active NPI 1437291226 Individual Practitioner Male Practitioner

Douglas J Montgomery , PA-C

Physician Assistant - Surgical • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Douglas Montgomery, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Cincinnati, OH. Practice services are available at 9250 BLUE ASH RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9250 Blue Ash Rd

Cincinnati, OH 452426822

Telephone 5137927445

Fax 5137914042

Associated Practice Facility / Clinic

🏢 Cincinnati Spine Institute Llc Facility NPI 1619910809

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Cincinnati, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.8 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Cincinnati, OH (403 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$130.00	$61.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$320.00	$136.74
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$30.00	$9.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$320.00	$135.34
72100 X-ray of lower and sacral spine, 2-3 views	73	70	$32.05	$10.30
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$130.00	$60.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	49	$70.00	$36.45
72040 X-ray of upper spine, 2-3 views	24	24	$30.00	$9.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$190.00	$89.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$320.00	$131.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	103	$70.00	$35.44
72100 X-ray of lower and sacral spine, 2-3 views	96	96	$31.25	$9.33
72040 X-ray of upper spine, 2-3 views	26	26	$32.31	$10.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$190.00	$88.04
72020 X-ray of spine, 1 view	15	14	$20.00	$6.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$320.00	$130.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	92	$70.00	$34.74
72100 X-ray of lower and sacral spine, 2-3 views	83	82	$33.61	$9.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$190.00	$84.81
72020 X-ray of spine, 1 view	29	29	$21.38	$6.84
72120 X-ray lower and sacral spine including bending views 2 or 3 views	27	27	$30.00	$9.39
72040 X-ray of upper spine, 2-3 views	21	20	$44.29	$9.92

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 50.000196

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Gateway Health

1630393 (OH)

Commercial Insurance / Payer ID Buckeye

P10000897204 (OH)

Commercial Insurance / Payer ID Wellcare

752112 (OH)

Commercial Insurance / Payer ID Medicaid

0077329 (OH)

Commercial Insurance / Payer ID Caresource

272352575063 (OH)

Commercial Insurance / Payer ID Aetna

5188071 (OH)

Commercial Insurance / Payer ID Anthem

791940 (OH)

Commercial Insurance / Payer ID Medicare

H155980 (OH)

Commercial Insurance / Payer ID Medicare

K052931 (KY)

Commercial Insurance / Payer ID Railroad Medicare

P01191326 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Lauren Smith , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003066960

ACNPBC

Connie Seeskin , NP

Nurse Practitioner - Acute Care

NPI 1033145248

Nurse Practitioner

Dr. Michael Kramer , MD

Neurological Surgery

NPI 1053351783

Doctor of Medicine (M.D.)

Dr. Rachel Heberling , MD

Physical Medicine & Rehabilitation

NPI 1083833305

Doctor of Medicine (M.D.)

David Brodbeck , PA-C

Physician Assistant - Surgical

NPI 1114069994

Physician Assistant (Certified)

Nicholas Godby

Physical Medicine & Rehabilitation

NPI 1174775464

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2017

Registered at 9250 BLUE ASH RD, CINCINNATI, OH 452426822 (Tel: 5137927445)

📍

Updated Business Mailing Address September 22, 2017

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5137927445)

👤

Provider Name / Credentials Updated September 22, 2017

Recorded as DOUGLAS MONTGOMERY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Physician Assistant (License #50.000196 in OH)

✅

NPI Profile Active September 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2015

Registered at 9250 BLUE ASH RD, CINCINNATI, OH 452426822 (Tel: 5137927445)

📍

Updated Business Mailing Address September 30, 2015

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132639238)

👤

Provider Name / Credentials Updated September 30, 2015

Recorded as DOUGLAS MONTGOMERY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2015

Physician Assistant (License #50.000196 in OH)

🟢

Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437291226

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 12, 2007

Last Update: September 22, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

237 William Howard Taft, Phys Div, 2nd Fl, Cbo2-3, Attn: Credentialing

Cincinnati, OH 452192906

Phone: 5137927445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.