1. Home
  2. Directory
  3. Florida
  4. Saint Augustine
  5. Physician Assistant
  6. NPI Profile

MATTHEW MONTGOMERY PA-C
NPI 1114727153
Physician Assistant in Saint Augustine, FL

Active since March 18, 2025PECOS EnrolledAccepts Medicare Assignment
45 GROOVER LOOP STE 201, SAINT AUGUSTINE, FL 32086(904) 634-0640 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Montgomery Pa-c NPPES

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

MATTHEW MONTGOMERY PA-C (NPI 1114727153) is an individual physician assistant in Saint Augustine, Florida, licensed in Florida (PENDING) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Southside, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114727153
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW MONTGOMERYCredential: PA-C
Location Address45 GROOVER LOOP STE 201Saint Augustine, FL 32086-6586
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 18, 2025
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1114727153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PENDING
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.
45 GROOVER LOOP STE 201, Saint Augustine, FL 32086
Open in Google Maps ↗

Other Identifiers 1

Medicaid127049200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Matthew 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 ID8820508955
PECOS Enrollment IDI20250609001489
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.

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

BRITTYN HAMER PA-C
Physician Assistant
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
ASHLEIGH ELIZABETH MAYA PA-C
Physician Assistant
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
AHMED SALEH MD
Orthopaedic Surgery
45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
ERIC G KIM DO
Orthopaedic Surgery
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
DR. KURTIS R HORT MD
Orthopaedic Surgery
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
KENDRA M BEATON PA-C
Physician Assistant
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
NOLAN A GALL MD
Physical Medicine & Rehabilitation (Pain Medicine)
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640
ROBERT TALIAFERRO JR. PA-C
Physician Assistant
45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086
St. Johns County (904) 634-0640

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 Matthew Montgomery's NPI number?

The NPI number for Matthew Montgomery is 1114727153. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Matthew Montgomery located?

Matthew Montgomery practices at 45 Groover Loop Ste 201, Saint Augustine, FL 32086. The listed phone number is (904) 634-0640.

What is Matthew Montgomery's specialty?

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

Is Matthew Montgomery enrolled in Medicare?

Yes. Matthew 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 Matthew Montgomery accept?

Health plans from AvMed list Matthew 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 Matthew Montgomery affiliated with any hospitals?

According to CMS data, Matthew Montgomery is affiliated with Ascension St Vincent's Southside and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Matthew Montgomery was last updated on July 28, 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.