JASON ROBERT MONTGOMERY (PAC) – Physician Assistant, NPI 1447410980

JASON ROBERT MONTGOMERY (PAC) is a healthcare provider. based in Lancaster, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 50001818 (OH). The NPI Number for JASON ROBERT MONTGOMERY (PAC) is 1447410980

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JASON ROBERT MONTGOMERY (PAC)
NPI
1447410980
Phone
(740) 687-5722
Address
2405 N COLUMBUS ST STE 200
Enumeration Date
9 June 2008
Last Update Date
16 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7406893627
Graduation Year
2001 (25 years ago)
PAC ID
3577619626
Group Practice PAC ID
1052214251
Professional Enrollment ID
I20090915000600
Address ID
OH431309671LA1941XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for JASON ROBERT MONTGOMERY (PAC)

  • 200, North Columbus Street, Lancaster West Main Street Historic District, Carpenters Addition, Lancaster, Fairfield County, Ohio, 43130, United States

    LANCASTER, OH 43130

    Phone: (740) 687-5722

    Fax: (740) 687-5898

    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 64 Open Payments records for all available years, with a total value of $1,189.

Total Amount is formed as General ($1,189) + Research ($0) + Ownership ($0) = $1,189.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($304).

Total Amount

$1,189

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2009-09-15

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
I20090915000600IPhysician AssistantOHTBD

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes654203$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes271159$0
99315Nursing facility discharge day management, 30 minutes or less2018$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 43130)

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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: 1052214251View full group profile
NameSpecialtyState
Family PracticeOH
Family PracticeOH
-OH
Family PracticeOH

Reviews

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Frequently asked questions

What number should I use to identify JASON ROBERT MONTGOMERY (PAC) for billing?
Administrative and clinical systems typically use NPI 1447410980 for JASON ROBERT MONTGOMERY (PAC).
Does the public listing show JASON ROBERT MONTGOMERY (PAC) as active?
JASON ROBERT MONTGOMERY (PAC)'s NPI record reflects an active status in NPPES.
How should patients interpret JASON ROBERT MONTGOMERY (PAC)'s specialty?
The extract shows Physician Assistant for JASON ROBERT MONTGOMERY (PAC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JASON ROBERT MONTGOMERY (PAC)?
JASON ROBERT MONTGOMERY (PAC) is associated with Lancaster, Ohio in the same public data insurers reference.
Who maintains JASON ROBERT MONTGOMERY (PAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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