DR. KEVIN MICHAEL MONTGOMERY (DO) – Emergency Medicine Physician, NPI 1033770573

DR. KEVIN MICHAEL MONTGOMERY (DO) is a healthcare provider. based in Omaha, Nebraska. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 8503 (NE). The NPI Number for DR. KEVIN MICHAEL MONTGOMERY (DO) is 1033770573

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN MICHAEL MONTGOMERY (DO)
NPI
1033770573
Phone
Not provided
Address
981150 NEBRASKA MEDICAL CTR
Enumeration Date
25 June 2019
Last Update Date
25 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025647118
Graduation Year
2019 (7 years ago)
PAC ID
4284964388
Group Practice PAC ID
7517954944
Professional Enrollment ID
I20220823001222
Address ID
NE686011664CO4600XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

240 EMERGENCY MEDICINE in NE

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Provider Addresses for DR. KEVIN MICHAEL MONTGOMERY (DO)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681981150

    Phone:

    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 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-27

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: 2022-08-23

PECOS data refreshed: 2026-06-15

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
I20220823001222IEmergency MedicineNETBD

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
99284Emergency department visit with moderate level of medical decision making161154$0
99285Emergency department visit with high level of medical decision making132129$0
99283Emergency department visit with low level of medical decision making124114$0
99282Emergency department visit with straightforward medical decision making3832$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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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: 7517954944View full group profile
NameSpecialtyState
Family PracticeNE
Emergency MedicineCA
Certified Registered Nurse Anesthetist (Crna)NE
Nurse PractitionerNE
-NE
O T O L A R Y N G O L O G YNE
General SurgeryNE
Certified Registered Nurse Anesthetist (Crna)NE
Nurse PractitionerNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What number should I use to identify DR. KEVIN MICHAEL MONTGOMERY (DO) for billing?
Administrative and clinical systems typically use NPI 1033770573 for DR. KEVIN MICHAEL MONTGOMERY (DO).
Is DR. KEVIN MICHAEL MONTGOMERY (DO)'s NPI status active today?
Active status means DR. KEVIN MICHAEL MONTGOMERY (DO)'s NPI record is not deactivated in the public file.
What does the directory say DR. KEVIN MICHAEL MONTGOMERY (DO) does?
Insurance directories may phrase it differently, but here DR. KEVIN MICHAEL MONTGOMERY (DO) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KEVIN MICHAEL MONTGOMERY (DO)?
The directory associates DR. KEVIN MICHAEL MONTGOMERY (DO) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. KEVIN MICHAEL MONTGOMERY (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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