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DR. MONTE' ERELL MONTGOMERY DDS
NPI 1164572665
Dentist - General Practice in Sutherlin, OR

Active since January 10, 2007PECOS Enrolled
115 N. STATE ST., SUTHERLIN, OR 97479(541) 459-4612(541) 459-4911 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Monte' Erell Montgomery Dds NPPES

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

DR. MONTE' ERELL MONTGOMERY DDS (NPI 1164572665) is an individual general practice provider in Sutherlin, Oregon, licensed in Oregon (D6919) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164572665
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MONTE' ERELL MONTGOMERYCredential: DDS
Location Address115 N. STATE ST.Sutherlin, OR 97479-0719
Mailing Address103 Clover Leaf Loop, 115 N. State St.Sutherlin, OR 97479-8540 · (541) 459-4612 · Fax (541) 459-4911
Phone(541) 459-4612
Fax(541) 459-4911
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1164572665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6919
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
115 N. STATE ST., Sutherlin, OR 97479
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon.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. Monte' Erell Montgomery Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97479 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Monte' Montgomery's NPI number?

The NPI number for Monte' Montgomery is 1164572665. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Monte' Montgomery located?

Monte' Montgomery practices at 115 N. State St., Sutherlin, OR 97479. The listed phone number is (541) 459-4612.

What is Monte' Montgomery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Monte' Montgomery enrolled in Medicare?

Yes. Monte' Montgomery is registered in the Medicare PECOS enrollment system.

What insurance does Monte' Montgomery accept?

Health plans from Delta Dental Plan of Oregon list Monte' 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 Monte' Montgomery was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.