1. Home
  2. Directory
  3. Illinois
  4. Granite City
  5. Physician Assistant
  6. NPI Profile

ROBERT MONTGOMERY
NPI 1447787544
Physician Assistant in Granite City, IL

Active since May 19, 2017PECOS Enrolled
2861 MADISON AVE, GRANITE CITY, IL 62040(618) 709-7723 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2018, May 19, 2017 (2 updates tracked since 2017).

About Robert Montgomery NPPES

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

ROBERT MONTGOMERY (NPI 1447787544) is an individual physician assistant in Granite City, Illinois, licensed in Missouri (2017010802) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Lincoln Memorial University Medical Department (2016).

NPPES Registry Identity

NPI1447787544
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT MONTGOMERY
Location Address2861 MADISON AVEGranite City, IL 62040-3614
Mailing Address4221 Highway KkNew Haven, MO 63068-2146
Phone(618) 709-7723
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2016
Enumeration DateMay 19, 2017
Last NPPES UpdateOctober 17, 20182 updates tracked since enumeration
✔ NPI 1447787544 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 MO · 2017010802
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.
2861 MADISON AVE, Granite City, IL 62040
Open in Google Maps ↗

Secondary Practice Location 1

Location 1621 S New Ballas RdSaint Louis, MO 63141-8232 · Phone (314) 567-5850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Montgomery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486922135
PECOS Enrollment IDI20170621001457
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 9

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

JOSHUA H. HOTTES S.C.
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 877-1644
PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
Non-Pharmacy Dispensing Site
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 877-4000
KELSEY RAHMOELLER DC
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 931-2050
KAITLYN J STROH FNP
Nurse Practitioner (Family)
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 709-7723
LINDA IDEAN RICH APRN
Nurse Practitioner
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 709-7723
GRANITE CITY URGENT CARE WALK-IN CLINIC
Clinic/Center (Urgent Care)
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (734) 771-8504
KRISTEN SINCLAIR NP
Nurse Practitioner
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (313) 948-3055
DR. BRIDGET BRASFIELD, LLC
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 877-4000

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 Robert Montgomery's NPI number?

The NPI number for Robert Montgomery is 1447787544. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Robert Montgomery located?

Robert Montgomery practices at 2861 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 709-7723.

What is Robert Montgomery's specialty?

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

Is Robert Montgomery enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Montgomery was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.