VERNESHA MONTGOMERY M.D
NPI 1902048234
Family Medicine in Danville, IL

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
311 W. FAIRCHILD ST., DANVILLE, IL 61832(217) 431-7650(217) 431-7792 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2021, Jan 27, 2016 (2 updates tracked since 2016).

About Vernesha Montgomery M.d NPPES

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

VERNESHA MONTGOMERY M.D (NPI 1902048234) is an individual family medicine provider in Danville, Illinois, licensed in Illinois (036134565) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2009).

NPPES Registry Identity

NPI1902048234
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVERNESHA MONTGOMERYCredential: M.D
Location Address311 W. FAIRCHILD ST.Danville, IL 61832
Mailing Address500 Lincoln Park Blvd Ste 220Kettering, OH 45429-6404 · (937) 294-4487 · Fax (937) 294-2255
Fax(217) 431-7792
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2009
Enumeration DateApril 1, 2009
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1902048234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036134565✔ Licensed in CO · 49452
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
311 W. FAIRCHILD ST., Danville, IL 61832

Other Identifiers 1

Medicaid34887709CO

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

Vernesha Montgomery M.d 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 ID8729235890
PECOS Enrollment IDI20210902000298
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 Reassignment

Medicare enrollment records show Vernesha Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
655 WATKINS MILL RD
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1467114207 (Maryland)
  • 2,492 clinicians in this Medicare group

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61832 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 10

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

Family Medicine
311 W. FAIRCHILD ST.
DANVILLE, IL 61832
Nurse Practitioner (Family)
311 W. FAIRCHILD ST., FAMILY MEDICINE
DANVILLE, IL 61832
Nurse Practitioner
311 W. FAIRCHILD ST., CONVENIENT CARE
DANVILLE, IL 61832
Nurse Practitioner
311 W. FAIRCHILD ST.
DANVILLE, IL 61832
Family Medicine
311 W. FAIRCHILD ST.
DANVILLE, IL 61832
Family Medicine
311 W. FAIRCHILD ST., CONVENIENT CARE
DANVILLE, IL 61832
Physician Assistant
311 W. FAIRCHILD ST., ADULT MEDICINE
DANVILLE, IL 61832
Nurse Practitioner
311 W. FAIRCHILD ST.
DANVILLE, IL 61832

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 Vernesha Montgomery's NPI number?

The NPI number for Vernesha Montgomery is 1902048234. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Vernesha Montgomery located?

Vernesha Montgomery practices at 311 W. Fairchild St., Danville, IL 61832. The listed phone number is (217) 431-7650.

What is Vernesha Montgomery's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vernesha Montgomery enrolled in Medicare?

Yes. Vernesha 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.

Which organization bills Medicare for Vernesha Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vernesha Montgomery reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vernesha Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vernesha Montgomery was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.