KENNETH DALE MONTGOMERY (M.D.) – Orthopaedic Surgery Physician, NPI 1922042720

KENNETH DALE MONTGOMERY (M.D.) is a healthcare provider. based in Morristown, New Jersey. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 188735-1 (NY). The NPI Number for KENNETH DALE MONTGOMERY (M.D.) is 1922042720

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH DALE MONTGOMERY (M.D.)
NPI
1922042720
Phone
(973) 538-2334
Address
160 E HANOVER AVE
Enumeration Date
15 June 2006
Last Update Date
14 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9735382334
Graduation Year
1990 (36 years ago)
PAC ID
3274605019
Group Practice PAC ID
7416840491
Professional Enrollment ID
I20080710000457
Address ID
NJ079272111CE197XXAVEX306
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

918 ORTHOPEDIC SURGERY in NJ

Provider Addresses for KENNETH DALE MONTGOMERY (M.D.)

  • 160 E HANOVER AVE

    PO BOX 1446

    MORRISTOWN, NJ 079603150

    Phone: (973) 538-2334

    Fax: (973) 538-1297

    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 9 Open Payments records for all available years, with a total value of $70,406.

Total Amount is formed as General ($70,406) + Research ($0) + Ownership ($0) = $70,406.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Medtronic, Inc. ($69,586).

Total Amount

$70,406

General + Research + Ownership

Payments

9

Total payment records

General Amount

$70,406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

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: 2008-07-10

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
I20080710000457IOrthopedic SurgeryNJTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,02080$0
J1100Injection, dexamethasone sodium phosphate, 1 mg14814$0
99213Established patient office or other outpatient visit, 20-29 minutes146110$0
20610Aspiration and/or injection of fluid from large joint13194$0
73030X-ray of shoulder, minimum of 2 views9376$0
View full utilization report →

Insurance plans in this area (ZIP 07960)

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Provider's Procedures

KENNETH DALE MONTGOMERY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYNJ73562X-ray of knee, 3 views2321

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: 7416840491View full group profile
NameSpecialtyState
Orthopedic SurgeryNJ
-WI
Physician AssistantNJ
Hand Surgery, Orthopedic SurgeryNJ
Physician AssistantNJ
Orthopedic SurgeryNJ
Physician AssistantNJ
Nurse PractitionerNJ
Hand Surgery, Orthopedic SurgeryNY
Physician AssistantNJ

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Frequently asked questions

What number should I use to identify KENNETH DALE MONTGOMERY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1922042720 for KENNETH DALE MONTGOMERY (M.D.).
Should I treat KENNETH DALE MONTGOMERY (M.D.) as an active provider?
Patients and plans typically see KENNETH DALE MONTGOMERY (M.D.) as active in the national extract.
How should patients interpret KENNETH DALE MONTGOMERY (M.D.)'s specialty?
The extract shows Orthopaedic Surgery Physician for KENNETH DALE MONTGOMERY (M.D.). Clinical services aligned with this taxonomy classification.
Is KENNETH DALE MONTGOMERY (M.D.) tied to Morristown, New Jersey?
If you are local to Morristown, New Jersey, KENNETH DALE MONTGOMERY (M.D.) may be relevant to your search.
Can I export KENNETH DALE MONTGOMERY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.