KYLE DAVID MONTGOMERY (MD) – Family Medicine Physician, NPI 1679559223
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KYLE DAVID MONTGOMERY (MD)
PO BOX 820933
PHILA, PA 191820933
Phone: (215) 926-3115
Fax: (215) 926-3100
Type: Mailing
2317 E WESTMORELAND ST
PHILA, PA 191344529
Phone: (215) 926-3115
Fax: (215) 926-3100
Type: Location
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: 2004-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040830000317 | I | Family Practice | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 244 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 243 | 168 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 191 | 151 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 181 | 61 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 136 | 136 | $0 |
Insurance plans in this area (ZIP 19182)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease | NJ | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| Family Practice | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Geriatric Medicine, Family Practice | PA | |
| - | PA | |
| - | PA |
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