KEVIN MAXWELL MONTGOMERY DO
NPI 1881154375
Emergency Medicine in Myrtle Beach, SC

Q: What is Kevin Montgomery's NPI number?

The NPI number for Kevin Montgomery is 1881154375. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Kevin Montgomery's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Montgomery was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 21, 2019PECOS EnrolledAccepts Medicare Assignment

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1752 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2022, Mar 21, 2019 (2 updates tracked since 2019).

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About Kevin Maxwell Montgomery Do NPPES

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

KEVIN MAXWELL MONTGOMERY DO (NPI 1881154375) is an individual emergency medicine provider in Myrtle Beach, South Carolina, licensed in Georgia (92030) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881154375

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKEVIN MAXWELL MONTGOMERYCredential: DO

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-1752

Phone(843) 692-1752

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1881154375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in GA · 92030

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

809 82ND PKWY, Myrtle Beach, SC 29572

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Maxwell Montgomery Do 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 ID6002145570

PECOS Enrollment IDI20220803001222

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 Kevin Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coweta Emergency Group LLC

347 mi

Emergency Medicine

60 HOSPITAL RD
Newnan, GA 30263

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

NPI 1245556588 (770) 253-1912

Inphynet Primary Care Physicians Southeast PC

366 mi

Emergency Medicine

2122 MANCHESTER EXPY
Columbus, GA 31904

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

NPI 1770521460 (706) 596-4000

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

311 services301 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

85 services81 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110129

Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County

Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110229

Location745 Poplar RoadNewnan, GA 30265 · Coweta County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist