LEONARD DARNELL MONTGOMERY (PA-C) – Internal Medicine Physician, NPI 1114397742

LEONARD DARNELL MONTGOMERY (PA-C) is a healthcare provider. based in Clinton, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C0007177 (MD). The NPI Number for LEONARD DARNELL MONTGOMERY (PA-C) is 1114397742

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LEONARD DARNELL MONTGOMERY (PA-C)
NPI
1114397742
Phone
(301) 877-4509
Address
7503 SURRATTS RD
Enumeration Date
24 September 2015
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
7036899000
Graduation Year
2015 (11 years ago)
PAC ID
3274841457
Group Practice PAC ID
7618235995
Professional Enrollment ID
I20190909000954
Address ID
VA201903204RE1850XPKWY400

Contacts

Secure Messaging
lmontgomery87770@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:10State licenses:4Other namesUpdated within 12 months

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for LEONARD DARNELL MONTGOMERY (PA-C)

  • 7503 SURRATTS RD

    CLINTON, MD 207353358

    Phone: (301) 877-4509

    Type: Mailing

  • 7503 Surratts Rd

    Clinton, MD 207353358

    Phone: (301) 877-4509

    Type: Location

  • 1850 Town Center Pkwy Ste 309

    Reston, VA 201903300

    Phone: (703) 705-4180

    Fax: (571) 926-8943

    Type: Location

  • 800 MEDICAL CENTER DR

    FAIRMONT, MN 560314575

    Phone: (507) 238-8100

    Type: Location

  • 1850 TOWN CENTER PKWY STE 309

    RESTON, VA 201903300

    Phone: (703) 705-4180

    Fax: (571) 926-8943

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20190909000954IPhysician AssistantDCTBD
I20200831002112IPhysician AssistantMDTBD
I20230323000556IPhysician AssistantVATBD
I20240129000484IPhysician AssistantGATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6262$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 20735)

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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: 7618235995View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)TX
General SurgeryAL
Physician AssistantOH
Physician AssistantVA
General SurgeryFL
General SurgeryNC
Physician AssistantVA
-VA
Physician AssistantVA
Physician AssistantVA

Reviews

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Frequently asked questions

What NPI should I save for LEONARD DARNELL MONTGOMERY (PA-C)?
Save NPI 1114397742 if you need a stable reference for LEONARD DARNELL MONTGOMERY (PA-C).
Is LEONARD DARNELL MONTGOMERY (PA-C)'s NPI currently valid?
The extract we use shows LEONARD DARNELL MONTGOMERY (PA-C) as active.
What field does LEONARD DARNELL MONTGOMERY (PA-C) work in?
You can think of LEONARD DARNELL MONTGOMERY (PA-C) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does LEONARD DARNELL MONTGOMERY (PA-C) practice in Maryland?
You will see Clinton, Maryland on file for LEONARD DARNELL MONTGOMERY (PA-C) alongside any extra practice locations.
Is LEONARD DARNELL MONTGOMERY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1114397742. Always confirm identity and privileges with the practice and licensing boards.

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