TARA LYN MONTGOMERY-JOHNSON PA-C
NPI 1366490005
Physician Assistant in Coldwater, MI

Active since May 05, 2006PECOS Enrolled
75/100
CMS Quality Rating
90 N MICHIGAN AVE, COLDWATER, MI 49036(248) 860-4634 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, May 11, 2021 (2 updates tracked since 2021).

About Tara Lyn Montgomery-johnson Pa-c NPPES

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

TARA LYN MONTGOMERY-JOHNSON PA-C (NPI 1366490005) is an individual physician assistant in Coldwater, Michigan, licensed in Michigan (5601004621) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366490005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA LYN MONTGOMERY-JOHNSONCredential: PA-C
Location Address90 N MICHIGAN AVEColdwater, MI 49036-1527
Mailing Address41850 W 11 Mile Rd Ste 202Novi, MI 48375-1857 · (248) 860-4634
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
NPI 1366490005 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 MI · 5601004621
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.
90 N MICHIGAN AVE, Coldwater, MI 49036

Other Names 1

Former Name (1)Tara Lyn Montgomery Pa-c

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 (PECOS)

Tara Lyn Montgomery-johnson Pa-c 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.

Areas of Expertise CMS Part B claims 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
624 services119 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
414 services125 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
325 services139 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
214 services96 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
214 services50 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
111 services109 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49036 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers40 claims40 services$60.15 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers41 claims41 services$23.77 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$48.28 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers22 claims22 services$9.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
90 N MICHIGAN AVE
COLDWATER, MI 49036
Physical Therapy Assistant
90 N MICHIGAN AVE
COLDWATER, MI 49036
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
90 N MICHIGAN AVE
COLDWATER, MI 49036
Occupational Therapy Assistant
90 N MICHIGAN AVE
COLDWATER, MI 49036
Occupational Therapist
90 N MICHIGAN AVE
COLDWATER, MI 49036
Occupational Therapy Assistant
90 N MICHIGAN AVE
COLDWATER, MI 49036
Physical Therapy Assistant
90 N MICHIGAN AVE
COLDWATER, MI 49036
Skilled Nursing Facility
90 N MICHIGAN AVE
COLDWATER, MI 49036

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 Tara Montgomery-johnson's NPI number?

The NPI number for Tara Montgomery-johnson is 1366490005. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Tara Lyn Montgomery Pa-C.

Where is Tara Montgomery-johnson located?

Tara Montgomery-johnson practices at 90 N Michigan Ave, Coldwater, MI 49036. The listed phone number is (248) 860-4634.

What is Tara Montgomery-johnson's specialty?

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

Is Tara Montgomery-johnson enrolled in Medicare?

Yes. Tara Montgomery-johnson is registered in the Medicare PECOS enrollment system.

What insurance does Tara Montgomery-johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tara Montgomery-johnson 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 Tara Montgomery-johnson was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.