MONTGOMERY DAVIS
NPI 1265029284
Nurse Anesthetist, Certified Registered in College Station, TX

Active since December 23, 2020Accepts Medicare Assignment
93.85/100
CMS Quality Rating
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845(979) 207-0100(979) 207-2161 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Jun 20, 2024, Mar 22, 2021 and 1 more (4 updates tracked since 2020).

About Montgomery Davis NPPES

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

MONTGOMERY DAVIS (NPI 1265029284) is an individual nurse anesthetist, certified registered in College Station, Texas, licensed in Virginia (0024195693) and active in the NPI registry since December 2020. She is affiliated with The Queens Medical Center, maintains a secondary practice location in Maumelle, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265029284
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMONTGOMERY DAVIS
Location Address700 SCOTT AND WHITE DRCollege Station, TX 77845-6441
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Fax(979) 207-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 23, 2020
Last NPPES UpdateFebruary 20, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1265029284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in VA · 0024195693 Licensed in TX · 1031057 Licensed in AR · 1031057
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedNurse PractitionerTaxonomy 363L00000X · License R099213 (AR)
700 SCOTT AND WHITE DR, College Station, TX 77845

Secondary Practice Location 1

Location 153 Meadow Ridge LoopMaumelle, AR 72113-6879 · Phone (870) 718-4194

Accepted 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

Montgomery Davis 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 ID6608285291
PECOS Enrollment IDI20210512000548, I20241205003524, I20260513000420

Hospital Affiliations CMS Care Compare 3

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670088
Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.72
Improvement Activities40
Cost81.58

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.

Family Medicine (Hospice and Palliative Medicine)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Physician Assistant
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Anesthetist, Certified Registered
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Anesthetist, Certified Registered
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Radiology (Diagnostic Radiology)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Practitioner (Family)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Pharmacist (Critical Care)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Emergency Medicine
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845

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 Davis's NPI number?

The NPI number for Montgomery Davis is 1265029284. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Montgomery Davis located?

Montgomery Davis practices at 700 Scott And White Dr, College Station, TX 77845. The listed phone number is (979) 207-0100.

What is Montgomery Davis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Montgomery Davis enrolled in Medicare?

Yes. Montgomery Davis 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 Montgomery Davis accept?

Health plans from Blue Cross and Blue Shield of Texas and HMSA list Montgomery Davis 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 Montgomery Davis affiliated with any hospitals?

According to CMS data, Montgomery Davis is affiliated with The Queens Medical Center, Sentara Norfolk General Hospital and Baylor Scott & White Medical Center- College Stati.

When was this NPI record last updated?

The NPPES record for Montgomery Davis was last updated on February 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.