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Active NPI 1104299601 Individual Practitioner Male Practitioner

Gary Dale Montgomery , PA-C

Physician Assistant • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gary Montgomery, PA-C is a certified Physician Assistant practicing in Everett, WA. With approximately 13 years of clinical experience since completing medical education in 2013, Gary Montgomery delivers high-quality medical care to the local community at 12800 BOTHELL EVERETT HWY.

Gary Montgomery maintains professional affiliations with East Phillips County Hospital District, Rural Physicians Group-Pannu Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected, new 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

12800 Bothell Everett Hwy
Ste A

Everett, WA 982086642

Telephone 4253165150
Fax 4259033142
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Everett, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -0.2 yrs vs City Avg
City Avg: 13.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Everett, WA (3774 Statewide)

Telehealth Adoption Rate
15.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Montgomery (13 Years) 13 Yrs
Everett Specialty Average (13.2 Years) 13.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes
73 70 $176.26 $77.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 23 $254.65 $109.73
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
17 17 $278.13 $139.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $222.00 $95.55
81003 Automated urinalysis test
16 16 $5.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60577634

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 MI 5601013078

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.

Hospital & Practice Group Affiliations

Rural Physicians Group-Pannu Pllc

301 N Main St, Sheridan, MI 488849235

Phone: 9892913261

Rural Physicians Group-Pannu Pllc

1140 N State St, Saint Ignace, MI 497811048

Phone: 9066437999

East Phillips County Hospital District

1001 E Johnson St, Holyoke, CO 807341854

Phone: 97085422412130

Secondary Practice Locations

1140 N State St

Saint Ignace, MI 497811048

Phone: 3033901940

Practice Associates & Co-Workers

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

23 Associated Practitioners
Theresa Skurnik , ARNP

Nurse Practitioner

NPI 1053402248

Advanced Registered Nurse Practitioner

Dr. David Erickson , MD

Internal Medicine

NPI 1114028180

Doctor of Medicine (M.D.)

NPI 1134106867

Doctor of Medicine (M.D.)

Michelle Lydston , PA-C

Physician Assistant

NPI 1194746222

Physician Assistant (Certified)

Dr. Songyan Mao , MD

Family Medicine

NPI 1235160474

Doctor of Medicine (M.D.)

David Shanholtzer , NP

Nurse Practitioner

NPI 1235315706

Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2025

Physician Assistant (License #5601013078 in MI)

NPI Profile Active October 09, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 09, 2017

Registered at PO BOX 827, BELLEVUE, WA 980090827 (Tel: 4255636258)

📍
Updated Practice Location October 09, 2017

Registered at 12800 BOTHELL EVERETT HWY, STE A, EVERETT, WA 982086642 (Tel: 4253165150)

👤
Provider Name / Credentials Updated October 09, 2017

Recorded as GARY MONTGOMERY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2017

Physician Assistant (License #PA60577634 in WA)

📍
Updated Practice Location March 08, 2017

Registered at 12800 BOTHELL EVERETT HWY, STE A, EVERETT, WA 982086642 (Tel: 4253165150)

📍
Updated Business Mailing Address March 08, 2017

Registered at PO BOX 3360, PORTLAND, OR 972083360

NPI Profile Active November 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2015

Registered at 3900 FACTORIA BLVD SE, STE A, BELLEVUE, WA 980061234 (Tel: 4259033141)

📍
Updated Business Mailing Address November 05, 2015

Registered at PO BOX 24105, SEATTLE, WA 981240105 (Tel: 4259033141)

👤
Provider Name / Credentials Updated November 05, 2015

Recorded as GARY MONTGOMERY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2015

Physician Assistant (License #PA60577634 in WA)

🟢
Initial NPI Registration & Enumeration November 05, 2015

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: 1104299601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2015
Last Update: May 20, 2025
Sole Proprietor: No

Mailing Address

Po Box 827

Bellevue, WA 980090827

Phone: 4255636258

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.