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DR. DANA MARIE MONTGOMERY D.O.
NPI 1033326772
Family Medicine in Old Forge, PA

Active since May 16, 2007PECOS Enrolled
315 S MAIN ST, OLD FORGE, PA 18518(570) 457-8364(570) 457-9635 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dana Marie Montgomery D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANA MARIE MONTGOMERY D.O. (NPI 1033326772) is an individual family medicine provider in Old Forge, Pennsylvania, licensed in Pennsylvania (OS014540) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033326772
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANA MARIE MONTGOMERYCredential: D.O.
Location Address315 S MAIN STOld Forge, PA 18518-1606
Mailing Address315 S Main StOld Forge, PA 18518-1606 · (570) 457-8364 · Fax (570) 457-9635
Phone(570) 457-8364
Fax(570) 457-9635
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 14, 2013
✔ NPI 1033326772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS014540
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

315 S MAIN ST, Old Forge, PA 18518
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Other Identifiers 2

Medicaid102200916PA
Medicare PIN135951PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dana Marie Montgomery D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers26 claims55 services$4.42 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims21 services$0.94 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims900 services$0.02 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims675 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$17.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHRYN ANN SALLAVANTI D.O.
Family Medicine
315 S MAIN ST
OLD FORGE, PA 18518
Lackawanna County (570) 457-8364
LINDSAY MARIE BUKOWSKI CRNP
Nurse Practitioner (Family)
315 S MAIN ST
OLD FORGE, PA 18518
Lackawanna County (570) 457-8364
JULIE WASHKO CRNP
Nurse Practitioner (Family)
315 S MAIN ST
OLD FORGE, PA 18518
Lackawanna County (570) 457-8364
DR. ARMANDO R SALLAVANTI DO
Family Medicine
315 S MAIN ST
OLD FORGE, PA 18518
Lackawanna County (570) 457-8364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Montgomery's NPI number?

The NPI number for Dana Montgomery is 1033326772. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Dana Montgomery located?

Dana Montgomery practices at 315 S Main St, Old Forge, PA 18518. The listed phone number is (570) 457-8364.

What is Dana Montgomery's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dana Montgomery enrolled in Medicare?

Yes. Dana Montgomery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dana Montgomery was last updated on August 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.