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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL T MONTGOMERY D.O.
NPI 1366553166
Family Medicine in Hinton, WV

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
301 MADISON ST, HINTON, WV 25951(304) 466-2501(304) 466-2513 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Apr 6, 2022, Jul 16, 2021 (3 updates tracked since 2021).

About Michael T Montgomery D.o. NPPES

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

MICHAEL T MONTGOMERY D.O. (NPI 1366553166) is an individual family medicine provider in Hinton, West Virginia, licensed in West Virginia (1486) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (1994).

NPPES Registry Identity

NPI1366553166
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL T MONTGOMERYCredential: D.O.
Location Address301 MADISON STHinton, WV 25951-2543
Mailing Address301 Madison StHinton, WV 25951-2543 · (304) 466-2501 · Fax (304) 466-2513
Phone(304) 466-2501
Fax(304) 466-2513
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1994
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1366553166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 1486
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
301 MADISON ST, Hinton, WV 25951
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Michael T Montgomery D.o. 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 ID6507858990
PECOS Enrollment IDI20040402001312
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 8

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 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.
92 services83 patients
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.
50 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
37 services33 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
34 services32 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
32 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Beckley Arh Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510062
Location306 Stanaford RoadBeckley, WV 25801 · Raleigh County
Emergency services

Summers County Arh Hospital

Critical Access Hospitals · Hinton, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511310
Location115 Summers Hospital RoadHinton, WV 25951 · Summers County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25951 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers26 claims86 services$5.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Montgomery's NPI number?

The NPI number for Michael Montgomery is 1366553166. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Montgomery located?

Michael Montgomery practices at 301 Madison St, Hinton, WV 25951. The listed phone number is (304) 466-2501.

What is Michael Montgomery's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Montgomery enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Montgomery accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Michael 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.

Is Michael Montgomery affiliated with any hospitals?

According to CMS data, Michael Montgomery is affiliated with Princeton Community Hospital, Beckley Arh Hospital and Summers County Arh Hospital.

When was this NPI record last updated?

The NPPES record for Michael Montgomery was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.