KARLY MONTGOMERY PA-C
NPI 1669289252
Physician Assistant in Grayling, MI

Active since December 17, 2024PECOS EnrolledAccepts Medicare Assignment
1100 E MICHIGAN AVE, GRAYLING, MI 49738(546) 198-9348 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Dec 17, 2024 (2 updates tracked since 2024).

About Karly Montgomery Pa-c NPPES

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

KARLY MONTGOMERY PA-C (NPI 1669289252) is an individual physician assistant in Grayling, Michigan, licensed in Michigan (5601012916) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669289252
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARLY MONTGOMERYCredential: PA-C
Location Address1100 E MICHIGAN AVEGrayling, MI 49738-1312
Mailing Address825 N Center AveGaylord, MI 49735-1592 · (989) 731-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1669289252 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 MI · 5601012916
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.
1100 E MICHIGAN AVE, Grayling, MI 49738

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

Karly 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 ID2365962271
PECOS Enrollment IDI20250222000015
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 3

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49738 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

General Acute Care Hospital (Rural)
1100 E MICHIGAN AVE
GRAYLING, MI 49738
Physician Assistant
1100 E MICHIGAN AVE
GRAYLING, MI 49738
Emergency Medicine (Emergency Medical Services)
1100 E MICHIGAN AVE
GRAYLING, MI 49738
Pharmacist
1100 E MICHIGAN AVE
GRAYLING, MI 49738
Anesthesiology
1100 E MICHIGAN AVE
GRAYLING, MI 49738
Pharmacist
1100 E MICHIGAN AVE
GRAYLING, MI 49738
Dietitian, Registered
1100 E MICHIGAN AVE, MERCY HOSPITAL GRAYLING
GRAYLING, MI 49738
Occupational Therapist
1100 E MICHIGAN AVE
GRAYLING, MI 49738

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 Karly Montgomery's NPI number?

The NPI number for Karly Montgomery is 1669289252. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Karly Montgomery located?

Karly Montgomery practices at 1100 E Michigan Ave, Grayling, MI 49738. The listed phone number is (546) 198-9348.

What is Karly Montgomery's specialty?

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

Is Karly Montgomery enrolled in Medicare?

Yes. Karly 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 Karly Montgomery affiliated with any hospitals?

According to CMS data, Karly Montgomery is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Otsego Memorial Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Karly Montgomery was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.