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DR. DIANE B MONTGOMERY M.D.
NPI 1386194967
Pediatrics in Syracuse, NY

Active since October 07, 2016PECOS Enrolled
475 IRVING AVE STE 300, SYRACUSE, NY 13210(315) 464-3555 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2022, Apr 8, 2020 (2 updates tracked since 2020).

About Dr. Diane B Montgomery M.d. NPPES

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

DR. DIANE B MONTGOMERY M.D. (NPI 1386194967) is an individual pediatrics provider in Syracuse, New York, licensed in New York (204155-1) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386194967
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. DIANE B MONTGOMERYCredential: M.D.
Location Address475 IRVING AVE STE 300Syracuse, NY 13210-1528
Mailing Address251 Salina Meadows Pkwy Ste 100Syracuse, NY 13212-4516
Phone(315) 464-3555
Sole ProprietorNo
Enumeration DateOctober 7, 2016
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1386194967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 204155-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
475 IRVING AVE STE 300, Syracuse, NY 13210
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Other Names 1

Former Name (1)Dr. Diane L Babuts M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diane B Montgomery M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Service Group
0.3 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

ALEXANDRA MARIE STOCKS BCBA, LBA
Behavior Analyst
475 IRVING AVE STE 300
SYRACUSE, NY 13210
Onondaga County (607) 201-5177

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 Diane Montgomery's NPI number?

The NPI number for Diane Montgomery is 1386194967. It was assigned to this individual provider in the NPPES registry on October 7, 2016. The provider is also known as Dr. Diane L Babuts M.D..

Where is Diane Montgomery located?

Diane Montgomery practices at 475 Irving Ave Ste 300, Syracuse, NY 13210. The listed phone number is (315) 464-3555.

What is Diane Montgomery's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Diane Montgomery enrolled in Medicare?

Yes. Diane Montgomery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Montgomery reassigns Medicare benefits to Pediatric Service Group (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diane Montgomery was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.