MR. TIMOTHY JOSEPH MONTAG PA-C
NPI 1649348426
Physician Assistant in Maple Grove, MN

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
9645 GROVE CIRCLE NORTH, STE 200, MAPLE GROVE, MN 55369(763) 201-8191(763) 201-8192 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Mr. Timothy Joseph Montag Pa-c NPPES

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

MR. TIMOTHY JOSEPH MONTAG PA-C (NPI 1649348426) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (1735) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Glacial Ridge Hospital, and maintains a secondary practice location in Sartell.

NPPES Registry Identity

NPI1649348426
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY JOSEPH MONTAGCredential: PA-C
Location Address9645 GROVE CIRCLE NORTH, STE 200Maple Grove, MN 55369-4466
Mailing Address9645 Grove Circle North, Ste 200Maple Grove, MN 55369-4466 · (763) 201-8191 · Fax (763) 201-8192
Fax(763) 201-8192
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 1, 2006
Last NPPES UpdateApril 30, 20182 updates tracked since enumeration
NPI 1649348426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 1735
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.

9645 GROVE CIRCLE NORTH, Maple Grove, MN 55369

Secondary Practice Location 1

Location 1166 19th St S, Ste 101Sartell, MN 56377-4654 · Phone (320) 230-7788

Other Identifiers 2

Other045N0MOBlue Cross Blue Shield
Medicaid058133000MN

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

Mr. Timothy Joseph Montag 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 ID6507866456
PECOS Enrollment IDI20120802000713
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.

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241376
Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Timothy Montag's NPI number?

The NPI number for Timothy Montag is 1649348426. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Timothy Montag located?

Timothy Montag practices at 9645 Grove Circle North Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Timothy Montag's specialty?

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

Is Timothy Montag enrolled in Medicare?

Yes. Timothy Montag 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 Timothy Montag accept?

Health plans from Medica and Sanford Health Plan list Timothy Montag 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.

Is Timothy Montag affiliated with any hospitals?

According to CMS data, Timothy Montag is affiliated with Glacial Ridge Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Montag was last updated on April 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.