PEYTON TAYLOR MONTGOMERY PA-C
NPI 1053200378
Physician Assistant in Saint Louis, MO
About Peyton Taylor Montgomery Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEYTON TAYLOR MONTGOMERY PA-C (NPI 1053200378) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2026009855) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and maintains a secondary practice location in Birmingham.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Peyton Taylor Montgomery Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Peyton Montgomery's NPI number?
The NPI number for Peyton Montgomery is 1053200378. It was assigned to this individual provider in the NPPES registry on July 1, 2025.
Where is Peyton Montgomery located?
Peyton Montgomery practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2000.
What is Peyton Montgomery's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Peyton Montgomery enrolled in Medicare?
Yes. Peyton Montgomery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Peyton Montgomery affiliated with any hospitals?
According to CMS data, Peyton Montgomery is affiliated with Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Peyton Montgomery was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peyton Taylor Montgomery, PA-C · NPI 1053200378
Physician Assistant physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 1, 2025.
## Identity
- **NPI:** 1053200378 (Entity type: Individual)
- **Enumerated:** July 1, 2025
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2026009855 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 S GRAND BLVD, Saint Louis, MO 63104-1016
- **Phone:** (314) 617-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053200378) · Data from the CMS NPPES public registry.