1. Home
  2. Directory
  3. Connecticut
  4. Farmington
  5. Family Medicine
  6. NPI Profile

MONTGOMERY BERNARD DOUGLAS M.D.
NPI 1114120839
Family Medicine in Farmington, CT

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-4477(860) 679-4474 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2016, Feb 2, 2016 (2 updates tracked since 2016).

About Montgomery Bernard Douglas M.d. NPPES

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

MONTGOMERY BERNARD DOUGLAS M.D. (NPI 1114120839) is an individual family medicine provider in Farmington, Connecticut, licensed in Connecticut (054868) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Suny/downstate University Hospital Of Brooklyn, and is a graduate of Js Weill Medical College, Cornell University (1986).

NPPES Registry Identity

NPI1114120839
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMONTGOMERY BERNARD DOUGLASCredential: M.D.
Location AddressUCONN MEDICAL GROUP, 263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing AddressUconn Medical Group, 263 Farmington AveFarmington, CT 06030-0001 · (860) 679-4477 · Fax (860) 679-4474
Phone(860) 679-4477
Fax(860) 679-4474
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1986
Enumeration DateJune 8, 2007
Last NPPES UpdateJuly 15, 20162 updates tracked since enumeration
✔ NPI 1114120839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 054868
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.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 171089 (NY), 054868 (CT)
UCONN MEDICAL GROUP, Farmington, CT 06030
Open in Google Maps ↗

Other Identifiers 2

Medicaid01141015NY
Medicare UPINE38161

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

Montgomery Bernard Douglas M.d. 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 ID749237543
PECOS Enrollment IDI20080709000573
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 2

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 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.
22 services11 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Suny/Downstate University Hospital Of Brooklyn

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330350
Location445 Lenox RoadBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

PAULA M. MCCAULEY APRN
Nurse Practitioner (Acute Care)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ISAAC MOSS M.D.
Orthopaedic Surgery
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
ALEXANDRA SHAW PA-C
Physician Assistant (Surgical)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. DANIEL STEWART ROBERTS M.D
Otolaryngology
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2804
COURTNEY DANIELLE HOLMES APRN
Nurse Practitioner (Adult Health)
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8400
DR. HYNES MICHAEL BIRMINGHAM SR. M.D.
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000
ALISE FRALLICCIARDI M.D.
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000
VINUTHA MAREGOWDA MD
Internal Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477

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 Montgomery Douglas's NPI number?

The NPI number for Montgomery Douglas is 1114120839. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Montgomery Douglas located?

Montgomery Douglas practices at Uconn Medical Group 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-4477.

What is Montgomery Douglas's specialty?

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

Is Montgomery Douglas enrolled in Medicare?

Yes. Montgomery Douglas 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.

Is Montgomery Douglas affiliated with any hospitals?

According to CMS data, Montgomery Douglas is affiliated with Suny/Downstate University Hospital Of Brooklyn.

When was this NPI record last updated?

The NPPES record for Montgomery Douglas was last updated on July 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.