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FULTON MONTGOMERY MEDICAL PC
NPI 1063235091
Orthopaedic Surgery in Amsterdam, NY

Active since November 07, 2024
5010 STATE HIGHWAY 30 STE 205, AMSTERDAM, NY 12010(518) 842-2663 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Sep 2, 2025, Dec 4, 2024 and 2 more (5 updates tracked since 2024).

About Fulton Montgomery Medical Pc NPPES

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

FULTON MONTGOMERY MEDICAL PC (NPI 1063235091), doing business as Mohawk Valley Orthopedics Associates, is a healthcare organization registered as an orthopaedic surgery in Amsterdam, New York and active in the NPI registry since November 2024. The organization maintains a secondary practice location in Johnstown and lists Brian Mcdermott, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1063235091
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameFULTON MONTGOMERY MEDICAL PC
Location Address5010 STATE HIGHWAY 30 STE 205Amsterdam, NY 12010-7532
Mailing Address427 Guy Park AveAmsterdam, NY 12010-1003 · (518) 770-7583
Phone(518) 842-2663
Organization SubpartNo
Authorized OfficialBrian McdermottShareholder · (518) 841-7124
Enumeration DateNovember 7, 2024
Last NPPES UpdateApril 28, 20265 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1063235091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5010 STATE HIGHWAY 30 STE 205, Amsterdam, NY 12010
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Other Names 1

Doing Business AsMohawk Valley Orthopedics Associates

Secondary Practice Location 1

Location 1434 S Kingsboro Ave Ste 102Johnstown, NY 12095-3822 · Phone (518) 773-4242

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fulton Montgomery Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Fulton Montgomery Medical PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Gerald Ortiz, M.D.
Orthopedic Surgery
NPI 1003805128
5010 STATE HIGHWAY 30 STE 205
Amsterdam, NY 12010
(518) 843-2663
✔ PECOS✔ Accepts Medicare0.1 mi
Russell Cecil, M.D.,PH.D.
Orthopedic Surgery
NPI 1750371308
5010 STATE HIGHWAY 30 SUITE 205
Amsterdam, NY 12010
(518) 842-2663
✔ PECOS✔ Accepts Medicare0.1 mi
Racquel Monroe, FNP
Nurse Practitioner
NPI 1861948150
434 S KINGSBORO AVE STE 102
Johnstown, NY 12095
(518) 773-4242
✔ PECOS✔ Accepts Medicare9.4 mi
Reynaldo Lazaro, M.D.
Neurology
NPI 1679682256
41-45 DIETZ ST
Oneonta, NY 13820
(607) 432-8272
✔ PECOS✔ Accepts Medicare57 mi
Arnaldo Martinez Rivera, MD
Orthopedic Surgery
NPI 1396292348
1 CHILDRENS PL STE 1B
Saint Louis, MO 63110
(314) 514-3500
✔ PECOS✔ Accepts Medicare893 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fulton Montgomery Medical PC's NPI number?

The NPI number for Fulton Montgomery Medical PC is 1063235091. It was assigned to this organization in the NPPES registry on November 7, 2024. The provider is doing business as Mohawk Valley Orthopedics Associates.

Where is Fulton Montgomery Medical PC located?

Fulton Montgomery Medical PC is located at 5010 State Highway 30 Ste 205, Amsterdam, NY 12010. The listed phone number is (518) 842-2663.

What is Fulton Montgomery Medical PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Fulton Montgomery Medical PC enrolled in Medicare?

Yes. Fulton Montgomery Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fulton Montgomery Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Fulton Montgomery Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (3), Neurology (1) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fulton Montgomery Medical PC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.