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MR. ALFRED MONTGOMERY P.A.
NPI 1467890442
Physician Assistant in San Antonio, TX

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229(210) 614-5400(210) 614-2413 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Mr. Alfred Montgomery P.a. NPPES

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

MR. ALFRED MONTGOMERY P.A. (NPI 1467890442) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2010).

NPPES Registry Identity

NPI1467890442
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALFRED MONTGOMERYCredential: P.A.
Location Address4411 MEDICAL DR STE 300San Antonio, TX 78229-3824
Mailing Address4411 Medical Dr, Suite 300San Antonio, TX 78229-3822 · (210) 614-5400
Phone(210) 614-5400
Fax(210) 614-2413
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2010
Enumeration DateJune 12, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1467890442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4411 MEDICAL DR STE 300, San Antonio, TX 78229
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Other Identifiers 4

Other386518YR99TX · Medicare
Other8629NMTX · Bcbs
OtherP015229911TX · Rr Medicare
Medicaid330839702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Mr. Alfred Montgomery P.a. 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 ID4789811332
PECOS Enrollment IDI20131206000023
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 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

RICHARD A BAUM MD
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
SARAH SENGER
Nurse Practitioner
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
JOHN P MULROW MD
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
DR. RACHEL L BECK M.D.
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
DR. ADESOLA ADENEGAN M.D
Internal Medicine (Interventional Cardiology)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
YISSELA ANALY ESCOBEDO
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
ELIZABETH HUNNICUTT ACNP
Nurse Practitioner
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400
SUSEELA NARAYANAN FNP
Nurse Practitioner
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Bexar County (210) 614-5400

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 Alfred Montgomery's NPI number?

The NPI number for Alfred Montgomery is 1467890442. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Alfred Montgomery located?

Alfred Montgomery practices at 4411 Medical Dr Ste 300, San Antonio, TX 78229. The listed phone number is (210) 614-5400.

What is Alfred Montgomery's specialty?

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

Is Alfred Montgomery enrolled in Medicare?

Yes. Alfred 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.

What insurance does Alfred Montgomery accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Alfred 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 Alfred Montgomery was last updated on July 21, 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.