JUSTINE C MONTGOMERY (PA) – Medical Physician Assistant, NPI 1740513563

JUSTINE C MONTGOMERY (PA) is a healthcare provider. based in Stoystown, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. MA053952 (PA). The NPI Number for JUSTINE C MONTGOMERY (PA) is 1740513563

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINE C MONTGOMERY (PA)
NPI
1740513563
Phone
(814) 893-5568
Address
PO BOX 340
Enumeration Date
11 September 2009
Last Update Date
1 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
0840336392
Group Practice PAC ID
3870494107
Professional Enrollment ID
I20091014000117
Address ID
PA155636002ST136XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for JUSTINE C MONTGOMERY (PA)

  • PO BOX 340

    136 S PINE AVE

    STOYSTOWN, PA 155636002

    Phone: (814) 893-5568

    Fax: (814) 893-5989

    Type: Mailing

  • 430, Stonycreek Street, Boswell, Somerset County, Pennsylvania, 15531, United States

    BOSWELL, PA 155311024

    Phone: (814) 629-5612

    Fax: (814) 629-7199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($34).

Total Amount

$89

General + Research + Ownership

Payments

5

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

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: 2009-10-14

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
I20091014000117IPhysician AssistantPATBD

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
99284Emergency department visit with moderate level of medical decision making8278$0
99285Emergency department visit with high level of medical decision making6460$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 15563)

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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: 3870494107View full group profile
NameSpecialtyState
Family PracticePA
-PA

Reviews

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Frequently asked questions

Is there an official ID for JUSTINE C MONTGOMERY (PA) in U.S. healthcare records?
The official identifier for JUSTINE C MONTGOMERY (PA) is NPI 1740513563.
Is JUSTINE C MONTGOMERY (PA) still an active registrant?
JUSTINE C MONTGOMERY (PA) carries an active NPI according to the public dataset.
What expertise is attributed to JUSTINE C MONTGOMERY (PA)?
JUSTINE C MONTGOMERY (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JUSTINE C MONTGOMERY (PA) located near Stoystown?
JUSTINE C MONTGOMERY (PA) currently maps to Stoystown, Pennsylvania in this extract.
Can I trust this NPI listing for JUSTINE C MONTGOMERY (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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