DR. ANDRE LAMONT MONTGOMERY (DC) – Chiropractor, NPI 1457315202

DR. ANDRE LAMONT MONTGOMERY (DC) is a healthcare provider. based in Avon lake, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 3302 (OH). The NPI Number for DR. ANDRE LAMONT MONTGOMERY (DC) is 1457315202

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDRE LAMONT MONTGOMERY (DC)
NPI
1457315202
Phone
(440) 930-5537
Address
684 AVON BELDEN ROAD
Enumeration Date
17 April 2006
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Secondary Phone
4409305537
Graduation Year
2002 (24 years ago)
PAC ID
4587638713
Group Practice PAC ID
4981678117
Professional Enrollment ID
I20040829000004
Address ID
OH440124111AV684XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,413 CHIROPRACTIC in OH

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Provider Addresses for DR. ANDRE LAMONT MONTGOMERY (DC)

  • 684, Avon Belden Road, Avon Lake, Lorain County, Ohio, 44012, United States

    SUITE B

    AVON LAKE, OH 440124111

    Phone: (440) 930-5537

    Fax: (440) 930-5237

    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)

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: 2004-08-29

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
I20040829000004IChiropracticOHTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions22735$0
98940Chiropractic manipulative treatment, 1-2 spinal regions7416$0
98942Chiropractic manipulative treatment, 5 spinal regions3511$0
View full utilization report →

Insurance plans in this area (ZIP 44012)

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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: 4981678117View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Does DR. ANDRE LAMONT MONTGOMERY (DC) have a public NPI I can cite?
Public records show DR. ANDRE LAMONT MONTGOMERY (DC) under NPI 1457315202.
Is DR. ANDRE LAMONT MONTGOMERY (DC) currently accepting referrals based on NPI status?
Registry metadata lists DR. ANDRE LAMONT MONTGOMERY (DC) as active.
What services align with DR. ANDRE LAMONT MONTGOMERY (DC)'s listing?
DR. ANDRE LAMONT MONTGOMERY (DC)'s public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ANDRE LAMONT MONTGOMERY (DC)?
DR. ANDRE LAMONT MONTGOMERY (DC) shows a connection to Avon Lake, Ohio in registry-derived data.
Can I export DR. ANDRE LAMONT MONTGOMERY (DC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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