MONTGOMERY ELMER MD
NPI 1063439420
Family Medicine in Kimberly, WI

Q: What is Montgomery Elmer's NPI number?

The NPI number for Montgomery Elmer is 1063439420. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Montgomery Elmer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Montgomery Elmer was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 16, 2006PECOS Enrolled

520 W 3RD ST, KIMBERLY, WI 54136(920) 788-7680(920) 788-7688 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Montgomery Elmer Md NPPES

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

MONTGOMERY ELMER MD (NPI 1063439420) is an individual family medicine provider in Kimberly, Wisconsin, licensed in Wisconsin (28511) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063439420

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMONTGOMERY ELMERCredential: MD

Location Address520 W 3RD STKimberly, WI 54136-1300

Mailing Address520 W 3rd StKimberly, WI 54136-1300 · (920) 788-7680 · Fax (920) 788-7688

Phone(920) 788-7680

Fax(920) 788-7688

Sole ProprietorNo

Enumeration DateJuly 16, 2006

Last NPPES UpdateAugust 24, 2021

NPPES CertifiedAugust 24, 2021

✔ NPI 1063439420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 28511

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.

520 W 3RD ST, Kimberly, WI 54136

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Other Identifiers 1

Medicaid31489400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montgomery Elmer Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Montgomery Elmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thedacare, Incorporated

5.1 mi

Counselor

1095 MIDWAY RD
Menasha, WI 54952

Reassigned Medicare billing, Wisconsin enrollment
988 clinicians in this Medicare group

NPI 1306959515 (920) 720-2300

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

Areas of Expertise CMS Part B claims

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54136 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

SARAH K MARCOE MD

Family Medicine