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SAMANTHA MONTGOMERY
NPI 1154183143
Physician Assistant in Scott City, KS

Active since January 25, 2024PECOS EnrolledAccepts Medicare Assignment
201 ALBERT AVE, SCOTT CITY, KS 67871(785) 250-7086 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Montgomery NPPES

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

SAMANTHA MONTGOMERY (NPI 1154183143) is an individual physician assistant in Scott City, Kansas and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Scott County Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154183143
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MONTGOMERY
Location Address201 ALBERT AVEScott City, KS 67871-6117
Mailing Address342 S Wichita, Po Box 63Dighton, KS 67839
Phone(785) 250-7086
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 25, 2024
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1154183143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
201 ALBERT AVE, Scott City, KS 67871
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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

Samantha Montgomery 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 ID3274037072
PECOS Enrollment IDI20250916001484
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

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

Scott County Hospital

Critical Access Hospitals · Scott City, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171372
Location201 Albert AvenueScott City, KS 67871 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67871 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

DEMI KRAUS PT, DPT
Physical Therapist
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-5811
MACKENZIE KATE RITTER RN
Registered Nurse
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-5811
WHITNEY WALLACE NICHOLS D.O.
Family Medicine
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-2187
RYAN CHRISTOPHER MICHELS PA
Physician Assistant
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-2187
TIMOTHY VANDERWEIDE CRNA
Nurse Anesthetist, Certified Registered
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-5811
MOYI CHANG CCC-SLP
Speech-Language Pathologist
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-5811
BETHANY CARRILLO OT
Occupational Therapist
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-5811
BRIANNA FIEF BSN, RN
Registered Nurse
201 ALBERT AVE
SCOTT CITY, KS 67871
Scott County (620) 872-5811

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 Samantha Montgomery's NPI number?

The NPI number for Samantha Montgomery is 1154183143. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Where is Samantha Montgomery located?

Samantha Montgomery practices at 201 Albert Ave, Scott City, KS 67871. The listed phone number is (785) 250-7086.

What is Samantha Montgomery's specialty?

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

Is Samantha Montgomery enrolled in Medicare?

Yes. Samantha 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.

Is Samantha Montgomery affiliated with any hospitals?

According to CMS data, Samantha Montgomery is affiliated with Scott County Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Montgomery was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.