1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Emergency Medicine
  6. NPI Profile

SAMUEL MONTGOMERY
NPI 1932425162
Emergency Medicine in Charlotte, NC

Active since April 13, 2010PECOS Enrolled
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-3658 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samuel Montgomery NPPES

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

SAMUEL MONTGOMERY (NPI 1932425162) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (164516) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932425162
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAMUEL MONTGOMERY
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812 · (704) 355-3658
Phone(704) 355-3658
Sole ProprietorYes
Enumeration DateApril 13, 2010
Last NPPES UpdateDecember 21, 2011
✔ NPI 1932425162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 164516
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.
1000 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Montgomery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

12

Medicare enrollment records show Samuel Montgomery reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
142 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Carr PLLC
341 mi
Emergency Medicine
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 208 clinicians in this Medicare group
NPI 1548677610 (615) 377-5593
T M Carr MD PC
484 mi
Emergency Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 256 clinicians in this Medicare group
NPI 1992706097 (731) 285-2410
Germantown Emergency Physicians, PLLC
508 mi
Emergency Medicine
7691 POPLAR AVE
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 251 clinicians in this Medicare group
NPI 1518747526 (901) 516-6000
Methodist North Emergency Physicians, PLLC
512 mi
Emergency Medicine
3960 NEW COVINGTON PIKE
Memphis, TN 38128
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
NPI 1801677083 (901) 516-5200
Methodist University Emergency Physicians PLLC
520 mi
Emergency Medicine
1265 UNION AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1023899291 (901) 516-7000
Methodist South Emergency Physicians, PLLC
520 mi
Emergency Medicine
1300 WESLEY DR
Memphis, TN 38116
  • Reassigned Medicare billing, Tennessee enrollment
  • 252 clinicians in this Medicare group
NPI 1609657873 (901) 516-3700
Emergency Medicine Physicians Of Tulsa County, LLC
850 mi
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 226 clinicians in this Medicare group
NPI 1003098773 (844) 474-4019
Sound Physicians Emergency Medicine Of Kansas, LLC
911 mi
Emergency Medicine
1823 COLLEGE AVE
Manhattan, KS 66502
  • Reassigned Medicare billing, Kansas enrollment
  • 106 clinicians in this Medicare group
NPI 1831689934 (785) 776-3322
Hospitalist Medicine Physicians Of Oklahoma Tcs LLC
1,000 mi
Emergency Medicine
5602 SW LEE BLVD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 53 clinicians in this Medicare group
NPI 1043932486 (580) 531-4700

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.

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.
231 services228 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
137 services130 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.
70 services68 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
BROOKE STEPHANIK
Pharmacist (Pediatrics)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000

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 Samuel Montgomery's NPI number?

The NPI number for Samuel Montgomery is 1932425162. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Samuel Montgomery located?

Samuel Montgomery practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-3658.

What is Samuel Montgomery's specialty?

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

Is Samuel Montgomery enrolled in Medicare?

Yes. Samuel Montgomery is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Montgomery reassigns Medicare benefits to 12 organizations: Emergency Coverage, LLC (Newport, TN), Carr PLLC (Brentwood, TN), T M Carr MD PC (Dyersburg, TN), Germantown Emergency Physicians, PLLC (Germantown, TN), Methodist North Emergency Physicians, PLLC (Memphis, TN) and 7 more organizations, listed in the Medicare section above. Each 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 Samuel Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Montgomery accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas list Samuel Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Montgomery was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.