Active NPI 1447450556 Individual Practitioner Male Practitioner

Jeffrey James Montgomery , PA-C

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeffrey Montgomery, PA-C is a certified Physician Assistant practicing in Provo, UT. With approximately 20 years of clinical experience since completing medical education in 2006, Jeffrey Montgomery delivers high-quality medical care to the local community at 1034 N 500 W.

Jeffrey Montgomery is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013573367

Associated Practice Facility / Clinic

🏢 Ihc Health Services, Inc Facility NPI 1235189002

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +9.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate

19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Montgomery (20 Years) 20 Yrs

Provo Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	342	58	$3.00	$0.93
20610 Aspiration and/or injection of fluid from large joint	93	74	$212.61	$60.58
99213 Established patient office or other outpatient visit, typically 15 minutes	80	74	$152.78	$72.67
27447 Replacement of knee joint, both sides of knee	48	45	$1601.00	$165.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$215.74	$103.47
73562 X-ray of knee, 3 views	44	38	$117.73	$31.18
73564 X-ray of knee, 4 or more views	43	30	$137.81	$35.54
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	40	17	$203.00	$122.12
73502 X-ray of hip, 2-3 views	21	21	$123.76	$33.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$282.00	$134.87
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$1497.00	$166.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	320	61	$3.00	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	112	102	$149.91	$72.98
20610 Aspiration and/or injection of fluid from large joint	93	80	$197.94	$58.19
73564 X-ray of knee, 4 or more views	63	42	$132.67	$35.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	45	$211.80	$101.71
73562 X-ray of knee, 3 views	42	37	$111.48	$30.62
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	40	24	$203.72	$125.93
73502 X-ray of hip, 2-3 views	39	38	$128.85	$35.26
27447 Replacement of knee joint, both sides of knee	39	37	$1601.00	$166.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$94.00	$45.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$186.11	$90.77
27130 Replacement of thigh bone and hip joint with prosthesis	16	15	$1497.81	$166.70
73030 X-ray of shoulder, minimum of 2 views	14	13	$101.00	$27.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	50	$147.78	$71.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	11	$3.43	$1.15
73502 X-ray of hip, 2-3 views	23	18	$81.70	$22.85
72100 X-ray of lower and sacral spine, 2-3 views	18	14	$110.33	$28.50
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$1417.00	$160.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$208.86	$98.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	187	28	$4.87	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	76	55	$146.53	$75.00
27245 Treatment of broken neck of thigh bone with bone implant	22	22	$1417.00	$162.69
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$111.71	$32.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$206.90	$106.60
73502 X-ray of hip, 2-3 views	17	11	$119.94	$29.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$241.86	$111.83
62322 Injection of substance into lower spine canal	12	12	$341.00	$119.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	115	18	$3.00	$1.32
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$134.43	$61.39
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$1415.22	$167.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$195.42	$87.38
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$103.78	$28.98
62322 Injection of substance into lower spine canal	11	11	$341.00	$106.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$123.00	$61.90
27245 Treatment of broken neck of thigh bone with bone implant	17	17	$1383.59	$171.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$182.00	$90.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	11	$3.00	$1.82
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$122.00	$60.21
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$1505.31	$169.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	12	$383.83	$35.21
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$96.00	$27.10
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$2682.83	$259.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	131	18	$3.00	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	102	81	$116.00	$59.97
72100 X-ray of lower and sacral spine, 2-3 views	28	25	$97.00	$27.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$222.00	$114.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$170.00	$85.57
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$1341.88	$168.41
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	12	$278.00	$37.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$262.00	$135.62
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$2576.42	$259.18

Medical Specialties & State Licenses

CMS Verified: 2025-11-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 8401684-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA PA19180

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ut State License

8401684-1206 (UT)

Commercial Insurance / Payer ID Medical License

PA19180 (CA)

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Revere Health Pc

1055 N 500, Provo, UT 846043305

Secondary Practice Locations

700 W 800 N Ste 100

Orem, UT 840576301

Phone: 8013737350

1055 N 500 W, Ste 121

Provo, UT 846043305

Phone: 8013737350

555 W State Road 164

Salem, UT 846535732

Phone: 8013737350

Practice Associates & Co-Workers

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

9 Associated Practitioners

Cassie Broadhead , PA-C

Physician Assistant

NPI 1083087944

Physician Assistant (Certified)

Angela Rohatinsky , FNP-C

Nurse Practitioner

NPI 1093438855

Family Nurse Practitioner (Certified)

Hayley Brown , PA-C

Physician Assistant - Surgical

NPI 1124411426

Physician Assistant (Certified)

Claire Weeks , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1154176857

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Jordan Eatough , PA-C

Physician Assistant

NPI 1205428232

Physician Assistant (Certified)

Christian Garrett

Physician Assistant

NPI 1225704984

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location November 19, 2025

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013573367)

📍

Updated Business Mailing Address November 19, 2025

Registered at PO BOX 27128, ATTN: CREDENTIALING, SALT LAKE CITY, UT 841270128 (Tel: 8013573367)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Physician Assistant (License #PA19180 in CA)

📍

Updated Business Mailing Address November 15, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

✅

NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2015

Registered at 1055 N 500 W, STE 121, PROVO, UT 846043305 (Tel: 8013737350)

📍

Updated Business Mailing Address February 04, 2015

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8013737350)

👤

Provider Name / Credentials Updated February 04, 2015

Recorded as JEFFREY MONTGOMERY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Physician Assistant (License #8401684-1206 in UT)

🟢

Initial NPI Registration & Enumeration July 18, 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: 1447450556

Entity Type:

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

Enumeration Date: July 18, 2007

Last Update: November 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128, Attn: Credentialing

Salt Lake City, UT 841270128

Phone: 8013573367

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.