BRANDON MONTGOMERY MD
NPI 1407099971
Obstetrics & Gynecology in Tupelo, MS

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
4566 S EASON BLVD, TUPELO, MS 38801(662) 377-4851 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brandon Montgomery Md NPPES

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

BRANDON MONTGOMERY MD (NPI 1407099971) is an individual obstetrics & gynecology provider in Tupelo, Mississippi, licensed in Mississippi (24400) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2013).

NPPES Registry Identity

NPI1407099971
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRANDON MONTGOMERYCredential: MD
Location Address4566 S EASON BLVDTupelo, MS 38801-6540
Mailing Address4566 S Eason BlvdTupelo, MS 38801-6540 · (662) 377-4851
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2013
Enumeration DateApril 14, 2009
Last NPPES UpdateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1407099971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MS · 24400✔ Licensed in TN · 50320✔ Licensed in LA · MD.204972
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4566 S EASON BLVD, Tupelo, MS 38801

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Montgomery Md 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 ID8921242397
PECOS Enrollment IDI20170317000314
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 Reassignments

4

Medicare enrollment records show Brandon Montgomery reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1041 S MADISON ST
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Sanders Clinic For Women P.A.
  • 24 clinicians in this Medicare group
Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 28 clinicians in this Medicare group
Obstetrics & Gynecology
1225 N STATE ST STE B1
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Obhg Mississippi PC
  • 145 clinicians in this Medicare group
Gastroenterology
105 GLEN OAK BLVD, SUITE 200
Hendersonville, TN 37075
  • Reassigned Medicare billing, Tennessee enrollment
  • 110 clinicians in this Medicare group

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 38801 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 14

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

Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Registered Nurse
4566 S EASON BLVD
TUPELO, MS 38801
Registered Nurse
4566 S EASON BLVD
TUPELO, MS 38801
Nurse Practitioner (Neonatal)
4566 S EASON BLVD
TUPELO, MS 38801
Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Nurse Practitioner (Family)
4566 S EASON BLVD
TUPELO, MS 38801

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 Brandon Montgomery's NPI number?

The NPI number for Brandon Montgomery is 1407099971. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Brandon Montgomery located?

Brandon Montgomery practices at 4566 S Eason Blvd, Tupelo, MS 38801. The listed phone number is (662) 377-4851.

What is Brandon Montgomery's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brandon Montgomery enrolled in Medicare?

Yes. Brandon 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.

Which organizations bill Medicare for Brandon Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Montgomery reassigns Medicare benefits to 4 organizations: Sanders Clinic For Women PA (Tupelo, MS), Obstetrics Gynecology Associates PA (Tupelo, MS), Obhg Mississippi, P.C. (Jackson, MS) and Sumner Physician Practices LLC (Hendersonville, TN). Each 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 Brandon Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Montgomery accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health Plan, Inc. list Brandon 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.

When was this NPI record last updated?

The NPPES record for Brandon Montgomery was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.