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GARY DALE MONTGOMERY PA-C
NPI 1104299601
Physician Assistant in Everett, WA

Active since November 05, 2015PECOS EnrolledAccepts Medicare Assignment
12800 BOTHELL EVERETT HWY, STE A, EVERETT, WA 98208(425) 316-5150(425) 903-3142 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Dale Montgomery Pa-c NPPES

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

GARY DALE MONTGOMERY PA-C (NPI 1104299601) is an individual physician assistant in Everett, Washington, licensed in Washington (PA60577634) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Mackinac Straits Hospital And Health Center, and maintains a secondary practice location in Saint Ignace.

NPPES Registry Identity

NPI1104299601
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGARY DALE MONTGOMERYCredential: PA-C
Location Address12800 BOTHELL EVERETT HWY, STE AEverett, WA 98208-6642
Mailing AddressPo Box 827Bellevue, WA 98009-0827 · (425) 563-6258
Phone(425) 316-5150
Fax(425) 903-3142
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 5, 2015
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1104299601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WA · PA60577634✔ Licensed in MI · 5601013078
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12800 BOTHELL EVERETT HWY, Everett, WA 98208
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Secondary Practice Location 1

Location 11140 N State StSaint Ignace, MI 49781-1048 · Phone (303) 390-1940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Medica, PacificSource Health Plans and more.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

Gary Dale Montgomery Pa-c 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 ID1456636745
PECOS Enrollment IDI20240222003138, I20250402002025
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mackinac Straits Hospital And Health Center

Critical Access Hospitals · Saint Ignace, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231306
Location1140 N State StreetSaint Ignace, MI 49781 · Mackinac County
Emergency services

Sheridan Community Hospital

Critical Access Hospitals · Sheridan, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231312
Location301 N Main StSheridan, MI 48884 · Montcalm County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 20

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

DR. TASNEEM ABBAS SHIKARY MD
Otolaryngology
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5100
PROVIDENCE HEALTH & SERVICES - WASHINGTON
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150
RANDALL S. REIMER MD
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208
Snohomish County (425) 316-5130
THERESA MARIE SKURNIK ARNP
Nurse Practitioner
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5150
CARL GANNON PA
Nurse Practitioner (Family)
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5180
LEE R ARGUE MD
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Snohomish County (425) 316-5180
DR. FARIHA S. FARID D.O.
Otolaryngology
12800 BOTHELL EVERETT HWY, SUITE 110
EVERETT, WA 98208
Snohomish County (425) 316-5100
DAVID L. ERICKSON MD
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150

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 Gary Montgomery's NPI number?

The NPI number for Gary Montgomery is 1104299601. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Gary Montgomery located?

Gary Montgomery practices at 12800 Bothell Everett Hwy Ste A, Everett, WA 98208. The listed phone number is (425) 316-5150.

What is Gary Montgomery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gary Montgomery enrolled in Medicare?

Yes. Gary 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 Gary Montgomery accept?

Health plans from McLaren Health Plan Community, Medica, PacificSource Health Plans and Priority Health list Gary 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.

Is Gary Montgomery affiliated with any hospitals?

According to CMS data, Gary Montgomery is affiliated with Mackinac Straits Hospital And Health Center and Sheridan Community Hospital.

When was this NPI record last updated?

The NPPES record for Gary Montgomery was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.