DR. HOLLY MONTGOMERY (MD) – Obstetrics & Gynecology Physician, NPI 1356723035

DR. HOLLY MONTGOMERY (MD) is a healthcare provider. based in Wichita, Kansas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 94-08732 (KS). The NPI Number for DR. HOLLY MONTGOMERY (MD) is 1356723035

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY MONTGOMERY (MD)
NPI
1356723035
Phone
(316) 962-3100
Address
1010 N Kansas St
Enumeration Date
18 June 2015
Last Update Date
10 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3166857234
Graduation Year
2009 (17 years ago)
PAC ID
5092029132
Group Practice PAC ID
7214903814
Professional Enrollment ID
I20190624000288
Address ID
KS672083003WI3232XSTXX400

Contacts

Secure Messaging
hunterhealth@khindirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

382 OBSTETRICS/GYNECOLOGY in KS

Provider Addresses for DR. HOLLY MONTGOMERY (MD)

  • 1010 N Kansas St

    Wichita, KS 672143124

    Phone: (316) 962-3100

    Type: Location

  • 402 E 2nd St N

    Wichita, KS 672022504

    Phone: (316) 262-2414

    Fax: (316) 264-4734

    Type: Location

  • 1010 N KANSAS ST

    WICHITA, KS 672143124

    Phone: (316) 962-3100

    Type: Mailing

  • 527 N Grove St

    Wichita, KS 672144520

    Phone: (316) 262-2415

    Fax: (316) 264-4734

    Type: Location

  • 2318 E Central Ave

    Wichita, KS 672144436

    Phone: (316) 262-2415

    Fax: (316) 262-0138

    Type: Location

  • 2750 S Roosevelt St

    Wichita, KS 672101304

    Phone: (316) 652-0152

    Fax: (316) 652-0928

    Type: Location

  • 935 N Market St

    Wichita, KS 672143521

    Phone: (316) 858-1151

    Fax: (316) 858-1152

    Type: Location

  • 3232 E MURDOCK ST

    WICHITA, KS 672083003

    Phone: (316) 685-7234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-10-12 • Largest payer in this snapshot: Applied Medical Resources Corporation ($35).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-06-24

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
I20190624000288IObstetrics/GynecologyKSTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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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: 7214903814View full group profile
NameSpecialtyState
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Obstetrics/Gynecology, Gynecological OncologyKS
Physician AssistantKS
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

Does DR. HOLLY MONTGOMERY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. HOLLY MONTGOMERY (MD) uses 1356723035.
Is DR. HOLLY MONTGOMERY (MD) listed as active for patients and plans?
The listing shows DR. HOLLY MONTGOMERY (MD) as active in the NPI system.
What is DR. HOLLY MONTGOMERY (MD) best known for clinically?
Directory data describes DR. HOLLY MONTGOMERY (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HOLLY MONTGOMERY (MD) based?
DR. HOLLY MONTGOMERY (MD) is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
Why does DR. HOLLY MONTGOMERY (MD) have multiple addresses?
10 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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