CAROLYN A MONTGOMERY NP
NPI 1720053416
Nurse Practitioner - Gerontology in Buffalo, NY

Q: What is Carolyn Montgomery's NPI number?

The NPI number for Carolyn Montgomery is 1720053416. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Carolyn Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment

40 LA RIVIERE DR STE 201, BUFFALO, NY 14202(716) 893-1010(716) 893-1002 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolyn A Montgomery Np NPPES

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

CAROLYN A MONTGOMERY NP (NPI 1720053416) is an individual gerontology provider in Buffalo, New York, licensed in New York (F340627) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1720053416

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameCAROLYN A MONTGOMERYCredential: NP

Location Address40 LA RIVIERE DR STE 201Buffalo, NY 14202-4344

Mailing Address40 La Riviere Dr Ste 201Buffalo, NY 14202-4344 · (716) 893-1010 · Fax (716) 893-1002

Phone(716) 893-1010

Fax(716) 893-1002

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateFebruary 17, 2006

Last NPPES UpdateApril 26, 2022

NPPES CertifiedApril 26, 2022

✔ NPI 1720053416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NY · F340627

40 LA RIVIERE DR STE 201, Buffalo, NY 14202

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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

Carolyn A Montgomery Np 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 ID749296358

PECOS Enrollment IDI20060306000396

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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

283 services62 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

89 services30 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

68 services53 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

29 services26 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

24 services16 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14202 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

DR. MICHAEL HENRY KUEKER MD

Family Medicine