JOSEPH ALEXANDER MONTGOMERY
NPI 1376100990
Physician Assistant in Saint Paul, MN

Q: What is Joseph Montgomery's NPI number?

The NPI number for Joseph Montgomery is 1376100990. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Q: What is Joseph Montgomery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joseph Montgomery was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 May 20, 2019PECOS EnrolledAccepts Medicare Assignment

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Dec 15, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Joseph Alexander Montgomery NPPES

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

JOSEPH ALEXANDER MONTGOMERY (NPI 1376100990) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (13632) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376100990

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOSEPH ALEXANDER MONTGOMERY

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address8170 33rd Ave SBloomington, MN 55425-4516

Phone(651) 254-3456

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 20, 2019

Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1376100990 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 MN · 13632

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.

640 JACKSON ST, Saint Paul, MN 55101

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1357 Salem Ave SW Apt 414Roanoke, VA 24016-3649 · Phone (571) 230-4716

Location 2111 17th Ave EAlexandria, MN 56308-5273 · Phone (320) 762-1511

Location 3817 Commercial StLeavenworth, WA 98826-1316 · Phone (509) 548-5815 · Fax (509) 548-2510

Location 4927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Premera Blue Cross Blue Shield of Alaska.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

Joseph Alexander Montgomery 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 ID6901214683

PECOS Enrollment IDI20220920002225

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 6

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

63 services63 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

48 services45 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

43 services43 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services28 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

16 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Multicare Covington Medical Center

Acute Care Hospitals · Covington, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500154

Location17700 SE 272nd StCovington, WA 98042 · King County

Emergency services

Cascade Medical Center

Critical Access Hospitals · Leavenworth, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501313

Location817 Commercial StreetLeavenworth, WA 98826 · Chelan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine