DR. ANDRE LAMONT MONTGOMERY DC
NPI 1457315202
Chiropractor in Avon Lake, OH

Active since April 17, 2006Accepts Medicare Assignment
684 AVON BELDEN RD, SUITE B, AVON LAKE, OH 44012(440) 930-5537(440) 930-5237 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2020, Dec 4, 2020 (2 updates tracked since 2020).

About Dr. Andre Lamont Montgomery Dc NPPES

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

DR. ANDRE LAMONT MONTGOMERY DC (NPI 1457315202) is an individual chiropractor in Avon Lake, Ohio, licensed in Ohio (3302) and active in the NPI registry since April 2006. He is a graduate of New York Chiropractic College (2002).

NPPES Registry Identity

NPI1457315202
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDRE LAMONT MONTGOMERYCredential: DC
Location Address684 AVON BELDEN RD, SUITE BAvon Lake, OH 44012-4110
Mailing Address684 Avon Belden Road, Suite BAvon Lake, OH 44012-4111 · (440) 930-5537 · Fax (440) 930-5237
Fax(440) 930-5237
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2002
Enumeration DateApril 17, 2006
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1457315202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 3302
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 3302 (OH)
684 AVON BELDEN RD, Avon Lake, OH 44012

Other Identifiers 1

Medicaid2324167OH

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

Dr. Andre Lamont Montgomery Dc 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 ID4587638713
PECOS Enrollment IDI20040829000004

Medicare Billing Reassignment

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

Chiropractor
684 AVON BELDEN RD, SUITE B
Avon Lake, OH 44012
  • Reassigned Medicare billing, Ohio enrollment
  • 2 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.

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
278 services44 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
59 services13 patients

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
684 AVON BELDEN RD
AVON LAKE, OH 44012
Massage Therapist
684 AVON BELDEN RD
AVON LAKE, OH 44012
Chiropractor
684 AVON BELDEN RD, SUITE B
AVON LAKE, OH 44012

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 Andre Montgomery's NPI number?

The NPI number for Andre Montgomery is 1457315202. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Andre Montgomery located?

Andre Montgomery practices at 684 Avon Belden Rd Suite B, Avon Lake, OH 44012. The listed phone number is (440) 930-5537.

What is Andre Montgomery's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Andre Montgomery enrolled in Medicare?

Yes. Andre 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 organization bills Medicare for Andre Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Montgomery reassigns Medicare benefits to Montgomery Chiropractic Center Inc (Avon Lake, OH). 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 Andre Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Montgomery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Andre 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 Andre Montgomery was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.