DR. MONTGOMERY C PEDEN (MD) – Family Medicine Physician, NPI 1851349179

DR. MONTGOMERY C PEDEN (MD) is a healthcare provider. based in Enterprise, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 00011984 (AL). The NPI Number for DR. MONTGOMERY C PEDEN (MD) is 1851349179

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MONTGOMERY C PEDEN (MD)
NPI
1851349179
Phone
(334) 347-3404
Address
101 PROFESSIONAL LANE
Enumeration Date
5 May 2006
Last Update Date
30 September 2016

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
3343473404
Graduation Year
1982 (44 years ago)
PAC ID
2769525641
Group Practice PAC ID
9436062296
Professional Enrollment ID
I20100201000119
Address ID
AL363302085EN101XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

Provider Addresses for DR. MONTGOMERY C PEDEN (MD)

  • 101 PROFESSIONAL LANE

    ENTERPRISE, AL 36330

    Phone: (334) 347-3404

    Fax: (334) 693-0613

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,399.

Total Amount is formed as General ($1,399) + Research ($0) + Ownership ($0) = $1,399.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($157).

Total Amount

$1,399

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,399

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100201000119IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,156487$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count998485$0
80053Blood test, comprehensive group of blood chemicals951478$0
81003Automated urinalysis test936469$0
80061Blood test, lipids (cholesterol and triglycerides)821432$0
View full utilization report →

Insurance plans in this area (ZIP 36330)

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Provider's Procedures

DR. MONTGOMERY C PEDEN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1818
INTERNAL MEDICINEAL83036Hemoglobin A1C level689306
INTERNAL MEDICINEAL85610Blood test, clotting time18923

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436062296View full group profile
NameSpecialtyState
U R O L O G YAL
Emergency MedicineMI
-AL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Internal MedicineAL
Certified Registered Nurse Anesthetist (Crna)AL
U R O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL
Critical Care (Intensivists)AL

Reviews

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Frequently asked questions

How is DR. MONTGOMERY C PEDEN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MONTGOMERY C PEDEN (MD) with NPI 1851349179.
Does CMS list DR. MONTGOMERY C PEDEN (MD) as active?
Yes — DR. MONTGOMERY C PEDEN (MD) is active in the NPI listing used on this page.
What is DR. MONTGOMERY C PEDEN (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. MONTGOMERY C PEDEN (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. MONTGOMERY C PEDEN (MD) serve?
DR. MONTGOMERY C PEDEN (MD)'s listing highlights Enterprise, Alabama; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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