JAMES CRAIG MONTGOMERY FNP
NPI 1568476182
Nurse Practitioner in Maryville, TN

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
616 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801(865) 273-0008(865) 895-4090 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Craig Montgomery Fnp NPPES

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

JAMES CRAIG MONTGOMERY FNP (NPI 1568476182) is an individual nurse practitioner in Maryville, Tennessee, licensed in Tennessee (APN7956) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1568476182
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAMES CRAIG MONTGOMERYCredential: FNP
Location Address616 W LAMAR ALEXANDER PKWYMaryville, TN 37801-3904
Mailing Address616 W Lamar Alexander PkwyMaryville, TN 37801-3904 · (865) 273-0008 · Fax (865) 895-4090
Fax(865) 895-4090
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
NPI 1568476182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · APN7956
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN7956 (TN)
616 W LAMAR ALEXANDER PKWY, Maryville, TN 37801

Accepted 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

James Craig Montgomery Fnp 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 ID5193825677
PECOS Enrollment IDI20070712000658
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
2,010 services13 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,784 services373 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,470 services48 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,377 services23 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
392 services96 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
299 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37801 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers26 claims104 services$18.37 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$5.83 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers26 claims6,240 services$9.48 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers26 claims104 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Allergy & Immunology
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Allergy & Immunology
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Podiatrist
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Allergy & Immunology
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Pediatrics
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Pediatrics
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Nurse Practitioner (Family)
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801

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 James Montgomery's NPI number?

The NPI number for James Montgomery is 1568476182. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is James Montgomery located?

James Montgomery practices at 616 W Lamar Alexander Pkwy, Maryville, TN 37801. The listed phone number is (865) 273-0008.

What is James Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is James Montgomery enrolled in Medicare?

Yes. James 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 James Montgomery accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list James 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 James Montgomery was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.