DR. JEFFREY MICHAEL MONTGOMERY (D.O.) – Family Medicine Physician, NPI 1902007990
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
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Provider Addresses for DR. JEFFREY MICHAEL MONTGOMERY (D.O.)
407, North State Street, Clarks Summit, Lackawanna County, Pennsylvania, 18411, United States
CLARKS SUMMIT, PA 184111061
Phone: (570) 586-1134
Fax: (570) 586-1136
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 355 Open Payments records for all available years, with a total value of $5,351.
Total Amount is formed as General ($5,351) + Research ($0) + Ownership ($0) = $5,351.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Novo Nordisk Inc ($797).
Total Amount
$5,351
General + Research + Ownership
Payments
355
Total payment records
General Amount
$5,351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $797 |
| ABBVIE INC. | $637 |
| Lilly USA, LLC | $535 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $408 |
| AstraZeneca Pharmaceuticals LP | $378 |
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: 2008-10-07
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 |
|---|---|---|---|---|
| I20081007000060 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 369 | 174 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 132 | 132 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 119 | 21 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 71 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 52 | $0 |
Insurance plans in this area (ZIP 18411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, Peripheral Vascular Disease | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | NY | |
| General Surgery | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA |
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