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TERRENCE J MONTGOMERY NP
NPI 1053528760
Nurse Practitioner - Family in Sedona, AZ

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
61 BELL ROCK PLZ, SEDONA, AZ 86351(928) 204-4999 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terrence J Montgomery Np NPPES

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

TERRENCE J MONTGOMERY NP (NPI 1053528760) is an individual family provider in Sedona, Arizona, licensed in Arizona (AP2648) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053528760
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTERRENCE J MONTGOMERYCredential: NP
Location Address61 BELL ROCK PLZSedona, AZ 86351-8810
Mailing AddressPo Box 21540Sedona, AZ 86341-1540 · (928) 204-4999
Phone(928) 204-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 16, 2007
Last NPPES UpdateApril 29, 2008
✔ NPI 1053528760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP2648
61 BELL ROCK PLZ, Sedona, AZ 86351
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Other Identifiers 2

Medicare PINZ115795AZ
Medicaid221575AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Terrence J Montgomery Np 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.

PECOS PAC ID4183724487
PECOS Enrollment IDI20070716000759
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,826 services226 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
579 services41 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
271 services218 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
155 services140 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
49 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86351 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%278 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier25 claims25 services$55.35 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$14.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$73.85 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers61 claims61 services$19.85 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers32 claims32 services$8.49 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 6

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

DEBBIE L KELLEY AU D
Audiologist
61 BELL ROCK PLZ, STE B
SEDONA, AZ 86351
Yavapai County (928) 284-2116
THE HEARING PROFESSIONALS, INC.
Hearing Aid Equipment
61 BELL ROCK PLZ, SUITE B
SEDONA, AZ 86351
Yavapai County (928) 284-5200
MARIAN SUE DIAMOND FNP
Nurse Practitioner (Family)
61 BELL ROCK PLZ
SEDONA, AZ 86351
Yavapai County (928) 204-4999
HEAR IN ARIZONA LLC
Audiologist-Hearing Aid Fitter
61 BELL ROCK PLZ, STE B
SEDONA, AZ 86351
Yavapai County (928) 284-2116
BIG PARK FAMILY PRACTICE PC
Nurse Practitioner (Family)
61 BELL ROCK PLZ
SEDONA, AZ 86351
Yavapai County (928) 300-4783
DR. JOHN T ROONEY DO
Family Medicine
61 BELL ROCK PLZ
SEDONA, AZ 86351
Yavapai County (928) 204-4999

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 Terrence Montgomery's NPI number?

The NPI number for Terrence Montgomery is 1053528760. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Terrence Montgomery located?

Terrence Montgomery practices at 61 Bell Rock Plz, Sedona, AZ 86351. The listed phone number is (928) 204-4999.

What is Terrence Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Terrence Montgomery enrolled in Medicare?

Yes. Terrence 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.

What insurance does Terrence Montgomery accept?

Health plans from Blue Cross Blue Shield of Arizona list Terrence Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terrence Montgomery was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.