TIFFANY A MONTGOMERY PA-C
NPI 1558451336
Physician Assistant in Philadelphia, PA

Q: What is Tiffany Montgomery's NPI number?

The NPI number for Tiffany Montgomery is 1558451336. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Tiffany Montgomery's specialty?

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

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

3400 SPRUCE ST, 4 SILVERSTEIN, PHILADELPHIA, PA 19104(215) 662-7355 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Tiffany A Montgomery Pa-c NPPES

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

TIFFANY A MONTGOMERY PA-C (NPI 1558451336) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052561) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1558451336

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTIFFANY A MONTGOMERYCredential: PA-C

Location Address3400 SPRUCE ST, 4 SILVERSTEINPhiladelphia, PA 19104-4206

Mailing Address3400 Spruce St, 4 SilversteinPhiladelphia, PA 19104-4206 · (215) 662-7355

Phone(215) 662-7355

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 13, 2006

Last NPPES UpdateNovember 26, 2012

✔ NPI 1558451336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in PA · MA052561✔ Licensed in NJ · 25MP00140000

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.

3400 SPRUCE ST, Philadelphia, PA 19104

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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

Tiffany A Montgomery Pa-c 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 ID4284666843

PECOS Enrollment IDI20110421000100

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

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.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

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 Tiffany Montgomery's NPI number?

The NPI number for Tiffany Montgomery is 1558451336. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Tiffany Montgomery located?

Tiffany Montgomery practices at 3400 Spruce St 4 Silverstein, Philadelphia, PA 19104. The listed phone number is (215) 662-7355.

What is Tiffany Montgomery's specialty?

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

Is Tiffany Montgomery enrolled in Medicare?

Yes. Tiffany 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.

Is Tiffany Montgomery affiliated with any hospitals?

According to CMS data, Tiffany Montgomery is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Tiffany Montgomery was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.