MR. JEFFREY JAMES MONTGOMERY (PA-C) – Physician Assistant, NPI 1447450556
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for MR. JEFFREY JAMES MONTGOMERY (PA-C)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
Ste 121
Provo, UT 846043305
Phone: (801) 373-7350
Fax: (801) 812-5401
Type: Location
PO BOX 27128
ATTN: CREDENTIALING
SALT LAKE CITY, UT 841270128
Phone: (801) 357-3367
Type: Mailing
700 W 800 N Ste 100
Orem, UT 840576301
Phone: (801) 373-7350
Type: Location
555 W State Road 164
Salem, UT 846535732
Phone: (801) 373-7350
Type: Location
1034 N 500 W
PROVO, UT 846043380
Phone: (801) 357-3367
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $282.
Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Vericel Corporation ($65).
Total Amount
$282
General + Research + Ownership
Payments
10
Total payment records
General Amount
$282
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $65 |
| Pacira Pharmaceuticals Incorporated | $47 |
| Globus Medical, Inc. | $39 |
| Stryker Corporation | $36 |
| Bioventus LLC | $30 |
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: 2015-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150312001332 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 320 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 102 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 93 | 80 | $0 |
| 73564 | X-ray of knee, 4 or more views | 63 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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