LANCE HARVEY MONTGOMERY – Family Medicine Physician, NPI 1225533144

LANCE HARVEY MONTGOMERY is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold a License No. S3844 (TX). The NPI Number for LANCE HARVEY MONTGOMERY is 1225533144

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
LANCE HARVEY MONTGOMERY
NPI
1225533144
Phone
(817) 702-1173
Address
1500 S MAIN ST
Enumeration Date
25 March 2018
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8304844200
Graduation Year
2018 (8 years ago)
PAC ID
1254741671
Group Practice PAC ID
6800077694
Professional Enrollment ID
I20201112003460
Address ID
TX781555838SE411XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for LANCE HARVEY MONTGOMERY

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044941

    Phone: (817) 702-1173

    Type: Mailing

  • 1215 E COURT ST

    SEGUIN, TX 781555129

    Phone: (830) 433-7030

    Type: Mailing

  • 411 S KING ST

    SEGUIN, TX 781555838

    Phone: (830) 433-7030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Lilly USA, LLC ($187).

Total Amount

$821

General + Research + Ownership

Payments

45

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2020-11-12

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
I20201112003460IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes362204$0
99213Established patient office or other outpatient visit, 20-29 minutes325205$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6161$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
81003Automated urinalysis test2019$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 6800077694View full group profile
NameSpecialtyState
-TX
U R O L O G YTX
Physician AssistantTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeID
Family PracticeAZ
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to LANCE HARVEY MONTGOMERY?
NPI 1225533144 is assigned to LANCE HARVEY MONTGOMERY under the national enumeration system.
Does this profile mean LANCE HARVEY MONTGOMERY is currently active?
Yes — LANCE HARVEY MONTGOMERY appears active in the national provider directory.
Can you summarize LANCE HARVEY MONTGOMERY's specialty in plain language?
Clinically, the directory lists LANCE HARVEY MONTGOMERY with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is LANCE HARVEY MONTGOMERY's primary listing?
We display Fort Worth, Texas because that is what the record indicates for LANCE HARVEY MONTGOMERY.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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