DR. THOMAS MARCEL MONTAGNE MD
NPI 1326019316
Internal Medicine - Gastroenterology in Spartanburg, SC

Q: What is Thomas Montagne's NPI number?

The NPI number for Thomas Montagne is 1326019316. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Thomas Montagne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Montagne was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

853 N CHURCH ST, SUITE 620, SPARTANBURG, SC 29303(864) 560-1674(864) 560-1690 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2021, May 11, 2018 (2 updates tracked since 2018).

On this page

About Dr. Thomas Marcel Montagne Md NPPES

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

DR. THOMAS MARCEL MONTAGNE MD (NPI 1326019316) is an individual gastroenterology provider in Spartanburg, South Carolina, licensed in South Carolina (12313) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of Vermont College Of Medicine (1987).

NPPES Registry Identity

NPI1326019316

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. THOMAS MARCEL MONTAGNECredential: MD

Location Address853 N CHURCH ST, SUITE 620Spartanburg, SC 29303-3098

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 560-1674

Fax(864) 560-1690

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1987

Enumeration DateJanuary 30, 2006

Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1326019316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in SC · 12313

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

853 N CHURCH ST, Spartanburg, SC 29303

Open in Google Maps ↗

Other Identifiers 5

Other88768SC · Medcost

MedicaidT53554SC

Medicaid5901496NC

OtherF228175206SC · Medicare Pin

Other4235491SC · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Dr. Thomas Marcel Montagne Md 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 ID3779584057

PECOS Enrollment IDI20070130000124

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 16

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.

190 services158 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

138 services138 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

121 services119 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

89 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

66 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

53 services52 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

39 services39 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

36 services32 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.

36 services35 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

31 services31 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services14 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

15 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 patients

Dilation of esophagus with a guide wire 43453

Dilation of the esophagus with a guide wire is a procedure to widen your esophagus. This is done to help food and liquid pass more easily into your stomach. A thin wire is inserted through your mouth and gently expands your esophagus.

14 services12 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420043

Location1530 N Limestone StGaffney, SC 29340 · Cherokee County

Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC

OwnershipVoluntary non-profit - Other

CMS Certification Number420108

Location322 West South StreetUnion, SC 29379 · Union County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

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.

MELONY C FOWLER FNP-C

Nurse Practitioner (Family)

853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303

Spartanburg County (864) 573-7511

JAMES SPEARMAN MD

Family Medicine

853 N CHURCH ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6193

DR. HAYWOOD GORDON FRANCE JR. MD

Internal Medicine (Gastroenterology)

853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303

Spartanburg County (864) 560-1674

GAYATRI SARANGDHAR SURWADE M.D

Family Medicine

853 N CHURCH ST, SUITE 510
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7001

SPARTANBURG REGIONAL MED CTR

Pediatrics

853 N CHURCH ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6287

CHARLES E. MORROW MD

Surgery (Surgical Critical Care)

853 N CHURCH ST, STE 500
SPARTANBURG, SC 29303

Spartanburg County (864) 560-1576

DR. GRANTHAM DEWITT WARREN M.D.

Obstetrics & Gynecology

853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303

Spartanburg County (864) 583-4556

DR. HOANG N GIEP M.D.

Specialist

853 N CHURCH ST, SUITE 700
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7002

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 Thomas Montagne's NPI number?

The NPI number for Thomas Montagne is 1326019316. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Thomas Montagne located?

Thomas Montagne practices at 853 N Church St Suite 620, Spartanburg, SC 29303. The listed phone number is (864) 560-1674.

What is Thomas Montagne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Montagne enrolled in Medicare?

Yes. Thomas Montagne 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 Thomas Montagne accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Thomas Montagne 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 Thomas Montagne affiliated with any hospitals?

According to CMS data, Thomas Montagne is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Montagne was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.