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DR. BLAKE KARLTON MONTGOMERY MD
NPI 1104270610
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Saint Louis, MO

Active since April 20, 2016PECOS Enrolled
1 CHILDRENS PL, STE 1B, SAINT LOUIS, MO 63110(314) 514-3500(314) 878-7678 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 23, 2023 and 1 more (4 updates tracked since 2021).

About Dr. Blake Karlton Montgomery Md NPPES

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

DR. BLAKE KARLTON MONTGOMERY MD (NPI 1104270610) is an individual pediatric orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2023011215) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104270610
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. BLAKE KARLTON MONTGOMERYCredential: MD
Location Address1 CHILDRENS PL, STE 1BSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 514-3500 · Fax (314) 878-7678
Phone(314) 514-3500
Fax(314) 878-7678
Sole ProprietorNo
Enumeration DateApril 20, 2016
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1104270610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in MO · 2023011215
Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

1 CHILDRENS PL, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid200124874MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Karlton Montgomery 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.

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.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
HANNAH EDELMAN MD, PHD
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479

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 Blake Montgomery's NPI number?

The NPI number for Blake Montgomery is 1104270610. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Blake Montgomery located?

Blake Montgomery practices at 1 Childrens Pl Ste 1B, Saint Louis, MO 63110. The listed phone number is (314) 514-3500.

What is Blake Montgomery's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Blake Montgomery enrolled in Medicare?

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

What insurance does Blake Montgomery accept?

Health plans from Cox HealthPlans and Medica list Blake 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 Blake Montgomery was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.