KEVIN FARRELL MONTGOMERY MD
NPI 1962448639
Surgery in Everett, WA

Active since June 21, 2006Opted out of Medicare · through Jun 9, 2027
125 130TH ST SE, EVERETT, WA 98208(425) 385-2263 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Farrell Montgomery Md NPPES

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

KEVIN FARRELL MONTGOMERY MD (NPI 1962448639) is an individual surgery provider in Everett, Washington, licensed in Washington (26324) and active in the NPI registry since June 2006. He has opted out of Medicare through June 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962448639
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKEVIN FARRELL MONTGOMERYCredential: MD
Location Address125 130TH ST SEEverett, WA 98208-6400
Mailing Address125 130th St Se, Suite 100Everett, WA 98208 · (425) 385-2263 · Fax (425) 385-8476
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 15, 2016
NPI 1962448639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · 26324
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
125 130TH ST SE, Everett, WA 98208

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kevin Farrell Montgomery Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2015 through June 9, 2027.

Opt-Out Effective DateJune 9, 2015
Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 12

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

Nurse Practitioner
125 130TH ST SE
EVERETT, WA 98208
Specialist
125 130TH ST SE, FIRST FLOOR
EVERETT, WA 98208
Acupuncturist
125 130TH ST SE, #202, NEUROSCIENCE MEDICAL CENTER
EVERETT, WA 98208
Internal Medicine (Obesity Medicine)
125 130TH ST SE
EVERETT, WA 98208
Nurse Practitioner (Adult Health)
125 130TH ST SE
EVERETT, WA 98208
Clinic/Center (Ambulatory Surgical)
125 130TH ST SE, FIRST FLOOR
EVERETT, WA 98208
Nurse Practitioner (Acute Care)
125 130TH ST SE
EVERETT, WA 98208
Surgery
125 130TH ST SE, FIRST FLOOR
EVERETT, WA 98208

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 Kevin Montgomery's NPI number?

The NPI number for Kevin Montgomery is 1962448639. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Kevin Montgomery located?

Kevin Montgomery practices at 125 130th St SE, Everett, WA 98208. The listed phone number is (425) 385-2263.

What is Kevin Montgomery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Montgomery enrolled in Medicare?

No. Kevin Montgomery has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Montgomery was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.