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

Q: 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.

Q: What is Michael Montgomery's specialty?

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

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

469 EMILY DR, CLARKSBURG, WV 26301(304) 423-5180(304) 423-5185 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2022, Jul 16, 2021 (2 updates tracked since 2021).

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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 Clarksburg, 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 Address469 EMILY DRClarksburg, WV 26301-5512

Mailing AddressHc 77 Box 14aHinton, WV 25951-9601 · (304) 466-2783 · Fax (304) 423-5185

Phone(304) 423-5180

Fax(304) 423-5185

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1994

Enumeration DateAugust 31, 2006

Last NPPES UpdateApril 6, 20222 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ 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.

469 EMILY DR, Clarksburg, WV 26301

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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 26301 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

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

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Other Providers at the Same Location NPPES 6

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

MR. JAMES D MCDANIEL PA-C

Physician Assistant (Medical)