DR. JAMES P MONTGOMERY DPM
NPI 1821064502
Podiatrist - Foot & Ankle Surgery in Greensburg, PA

NPI Status: Active since February 23, 2006

Contact Information

406 S MAPLE AVE
GREENSBURG, PA
ZIP 15601
Phone: (724) 837-5370
Fax: (724) 837-7516

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  • Individual
  • Male
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JAMES MONTGOMERY

This page provides the complete NPI Profile along with additional information for James Montgomery, a provider established in Greensburg, Pennsylvania with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1821064502 assigned on February 2006. The practitioner's primary taxonomy code is 213ES0103X with license number SC002626L (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1821064502
Provider Name
DR. JAMES P MONTGOMERY DPM
Gender
Male
Entity Type
Individual
Location Address
406 S MAPLE AVE GREENSBURG, PA 15601
Location Phone
(724) 837-5370
Location Fax
(724) 837-7516
Mailing Address
406 S MAPLE AVE GREENSBURG, PA 15601
Mailing Phone
(724) 837-5370
Mailing Fax
(724) 837-7516
Is Sole Proprietor?
No
Enumeration Date
02-23-2006
Last Update Date
04-03-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
SC002626L
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
480033657OTHER (01)PARAILROAD
2736397OTHER (01)PAAETNA
1296001OTHER (01)PACIGNA
0010457690006MEDICAID (05)PA 
102926OTHER (01)PAUPMC
1037399OTHER (01)PAGATEWAY
435230OTHER (01)PABLUE SHIELD
435230QH5MEDICARE PIN (08)PA 
245503OTHER (01)PAHEALTH AMERICA
T30415MEDICARE UPIN (02)PA 

Medicare Participation & PECOS Enrollment Status

James Montgomery is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

James Montgomery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638082472

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20031209000411

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Removal of fingernails or toenails, 6 or more nails

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

This service was performed 35 times for 20 patients

Reviews for DR. JAMES P MONTGOMERY DPM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821064502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 0 + 6 + 8 + 5 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1821064502.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
406 S MAPLE AVE
GREENSBURG, PA 15601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821064502, enumerated as an "individual" on February 23, 2006.

The provider is located at 406 S MAPLE AVE GREENSBURG, PA 15601 and the phone number is (724) 837-5370.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Cigna and Blue Cross. Please consult your insurance carrier or call the provider to verify.