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DR. BENJAMIN E. MONTGOMERY M.D.
NPI 1083609747
Family Medicine in Springfield, IL

Active since September 19, 2005PECOS Enrolled
72.14/100
CMS Quality Rating
3220 ATLANTA ST STE 100, SPRINGFIELD, IL 62707(217) 545-8801(217) 545-4444 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Benjamin E. Montgomery M.d. NPPES

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

DR. BENJAMIN E. MONTGOMERY M.D. (NPI 1083609747) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036-109933) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1083609747
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENJAMIN E. MONTGOMERYCredential: M.D.
Location Address3220 ATLANTA ST STE 100Springfield, IL 62707-8801
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486
Phone(217) 545-8801
Fax(217) 545-4444
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1083609747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-109933
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.
3220 ATLANTA ST STE 100, Springfield, IL 62707
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Secondary Practice Location 1

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 545-8000 · Fax (217) 757-8161

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin E. Montgomery M.d. 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 Benjamin Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of Southern Illinois University
4.0 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62707 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Referred Medical Equipment & Supplies CMS DME claims 7

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
8 suppliers34 claims90 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims25 services$1.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers14 claims14 services$66.19 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$21.95 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims62 services$2.42 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$8.96 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 3

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

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Clinic/Center (Federally Qualified Health Center (FQHC))
3220 ATLANTA ST STE 100
SPRINGFIELD, IL 62707
Sangamon County (217) 545-4968
JORDEN GENTRY PA-C
Physician Assistant
3220 ATLANTA ST STE 100
SPRINGFIELD, IL 62707
Sangamon County (217) 545-4968
KARA MICHELLE FELLERS APRN
Nurse Practitioner (Family)
3220 ATLANTA ST STE 100
SPRINGFIELD, IL 62707
Sangamon County (217) 545-4968

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 Benjamin Montgomery's NPI number?

The NPI number for Benjamin Montgomery is 1083609747. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Benjamin Montgomery located?

Benjamin Montgomery practices at 3220 Atlanta St Ste 100, Springfield, IL 62707. The listed phone number is (217) 545-8801.

What is Benjamin Montgomery's specialty?

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

Is Benjamin Montgomery enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Montgomery reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). The 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 Benjamin Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Montgomery was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.