DR. MARK L. MONTGOMERY (M.D.) – Vascular & Interventional Radiology Physician, NPI 1366403347

DR. MARK L. MONTGOMERY (M.D.) is a healthcare provider. based in Killeen, Texas. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. J6603 (TX). The NPI Number for DR. MARK L. MONTGOMERY (M.D.) is 1366403347

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK L. MONTGOMERY (M.D.)
NPI
1366403347
Phone
(254) 526-7523
Address
2201 S Clear Creek Rd
Enumeration Date
30 March 2006
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
5125090200
Graduation Year
1993 (33 years ago)
PAC ID
0345381406
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20100112000083
Address ID
TX786651053RO425XXBLVD300

Contacts

Secure Messaging
mmontgomery11490@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

450 INTERVENTIONAL RADIOLOGY in TX

Provider Addresses for DR. MARK L. MONTGOMERY (M.D.)

  • 2201 S Clear Creek Rd

    Killeen, TX 765494110

    Phone: (254) 526-7523

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $2,106.

Total Amount is formed as General ($2,106) + Research ($0) + Ownership ($0) = $2,106.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Inari Medical, Inc. ($614).

Total Amount

$2,106

General + Research + Ownership

Payments

81

Total payment records

General Amount

$2,106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2010-01-12

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
I20100112000083IInterventional RadiologyTXTBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes7372$0
49083Drainage of fluid from abdominal cavity using imaging guidance3022$0
32408Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin2222$0
76937Ultrasonic guidance for blood vessel access1818$0
77012Review by radiologist of ct guidance for needle placement1313$0
View full utilization report →

Insurance plans in this area (ZIP 76549)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

How do payers reference DR. MARK L. MONTGOMERY (M.D.)?
For DR. MARK L. MONTGOMERY (M.D.), use NPI 1366403347 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MARK L. MONTGOMERY (M.D.)?
You should see DR. MARK L. MONTGOMERY (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. MARK L. MONTGOMERY (M.D.)'s focus?
For DR. MARK L. MONTGOMERY (M.D.), the primary taxonomy reads as Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK L. MONTGOMERY (M.D.)?
Directory geography for DR. MARK L. MONTGOMERY (M.D.) centers on Killeen, Texas.
Does DR. MARK L. MONTGOMERY (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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