DR. DANA MARIE MONTGOMERY (D.O.) – Family Medicine Physician, NPI 1033326772

DR. DANA MARIE MONTGOMERY (D.O.) is a healthcare provider. based in Old forge, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OS014540 (PA). The NPI Number for DR. DANA MARIE MONTGOMERY (D.O.) is 1033326772

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANA MARIE MONTGOMERY (D.O.)
NPI
1033326772
Phone
(570) 457-8364
Address
315 S MAIN ST
Enumeration Date
16 May 2007
Last Update Date
14 August 2013

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
5709555524
Graduation Year
2005 (21 years ago)
PAC ID
6709945025
Group Practice PAC ID
0941206650
Professional Enrollment ID
I20081031000298
Address ID
PA185054116SC425XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,100 FAMILY PRACTICE in PA

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Provider Addresses for DR. DANA MARIE MONTGOMERY (D.O.)

  • 315, South Main Street, Lawrenceville, Old Forge, Lackawanna County, Pennsylvania, 18518, United States

    OLD FORGE, PA 185181606

    Phone: (570) 457-8364

    Fax: (570) 457-9635

    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 19 Open Payments records for all available years, with a total value of $542.

Total Amount is formed as General ($542) + Research ($0) + Ownership ($0) = $542.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($175).

Total Amount

$542

General + Research + Ownership

Payments

19

Total payment records

General Amount

$542

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

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: 2008-10-31

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
I20081031000298IFamily PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18518)

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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: 0941206650View full group profile
NameSpecialtyState
Internal MedicinePA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
Clinical Social WorkerPA
Internal MedicinePA
Preventive Medicine, Internal MedicinePA

Reviews

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Frequently asked questions

Is DR. DANA MARIE MONTGOMERY (D.O.) listed with a National Provider Identifier?
Yes — DR. DANA MARIE MONTGOMERY (D.O.) has NPI 1033326772 on file in the registry.
Is DR. DANA MARIE MONTGOMERY (D.O.) shown as active in public data?
Registry records indicate DR. DANA MARIE MONTGOMERY (D.O.) maintains an active NPI.
What clinical focus is listed for DR. DANA MARIE MONTGOMERY (D.O.)?
At a glance, DR. DANA MARIE MONTGOMERY (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. DANA MARIE MONTGOMERY (D.O.) associated with Old Forge?
Public fields place DR. DANA MARIE MONTGOMERY (D.O.) around Old Forge, Pennsylvania. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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