MR. ROSS MONTGOMERY O.D.
NPI 1639580004
Optometrist - Corneal and Contact Management in Perry, GA

Q: What is Ross Montgomery's NPI number?

The NPI number for Ross Montgomery is 1639580004. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Ross Montgomery's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Ross Montgomery was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 19, 2014PECOS Enrolled

1105 MORNINGSIDE DR, PERRY, GA 31069(478) 987-2020 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Ross Montgomery O.d. NPPES

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

MR. ROSS MONTGOMERY O.D. (NPI 1639580004) is an individual corneal and contact management provider in Perry, Georgia, licensed in Georgia (002776) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1639580004

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameMR. ROSS MONTGOMERYCredential: O.D.

Location Address1105 MORNINGSIDE DRPerry, GA 31069-2905

Mailing Address47 Jefferson StNewnan, GA 30263-1948 · (770) 254-0200

Phone(478) 987-2020

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 2013

Enumeration DateMay 19, 2014

Last NPPES UpdateJuly 2, 2020

NPPES CertifiedJuly 2, 2020

✔ NPI 1639580004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in GA · 002776

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Also ListedOptometristTaxonomy 152W00000X · License 002776 (GA)

1105 MORNINGSIDE DR, Perry, GA 31069

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ross Montgomery O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173743168

PECOS Enrollment IDI20140924002461

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.

Medicare Billing Reassignments

Medicare enrollment records show Ross Montgomery reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Second Sight LLC

64 mi

Optometrist

112 W OAK ST
Griffin, GA 30224

Reassigned Medicare billing, Georgia enrollment
5 clinicians in this Medicare group

NPI 1467032771 (770) 227-2924

Eyecare Plus LLC

82 mi

Corneal and Contact Management

301B PETROL PT
Peachtree City, GA 30269

Reassigned Medicare billing, Georgia enrollment
7 clinicians in this Medicare group

NPI 1245429539 (770) 487-2020

Side Eye LLC

89 mi

Optometrist

47 JEFFERSON ST
Newnan, GA 30263

Reassigned Medicare billing, Georgia enrollment
6 clinicians in this Medicare group

NPI 1881224681 (770) 254-0200

Reagin Decatur Group, LLC

97 mi

Health Service

104 CHURCH ST
Decatur, GA 30030

Reassigned Medicare billing, Georgia enrollment
5 clinicians in this Medicare group

NPI 1770002693 (404) 378-3694

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 9

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

114 services110 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

67 services67 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

66 services58 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

36 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services23 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31069 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 4

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

J. MATHIS DIXON, OD, PC

Optometrist

1105 MORNINGSIDE DR
PERRY, GA 31069

Houston County (478) 987-5500

SANA S. KHADAIR

Optometrist

1105 MORNINGSIDE DR
PERRY, GA 31069

Houston County (478) 988-4628

JOE MATHIS DIXON O.D.

Optometrist

1105 MORNINGSIDE DR
PERRY, GA 31069

Houston County (478) 987-5500

DR. LAUREN HAYNIE GRAHL O.D.

Optometrist

1105 MORNINGSIDE DR
PERRY, GA 31069

Houston County (478) 987-2020

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 Ross Montgomery's NPI number?

The NPI number for Ross Montgomery is 1639580004. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Ross Montgomery located?

Ross Montgomery practices at 1105 Morningside Dr, Perry, GA 31069. The listed phone number is (478) 987-2020.

What is Ross Montgomery's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Ross Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Ross Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Montgomery reassigns Medicare benefits to 4 organizations: Second Sight LLC (Griffin, GA), Eyecare Plus LLC (Peachtree City, GA), Side Eye LLC (Newnan, GA) and Reagin Decatur Group, LLC (Decatur, GA). Each 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 Ross Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ross Montgomery accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Ross 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 Ross Montgomery was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.