JASON MONTGOMERY (PA-C) – Medical Physician Assistant, NPI 1104835594
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON MONTGOMERY (PA-C)
7447, East Berry Avenue, Greenwood Village, Arapahoe County, Colorado, 80111, United States
GREENWOOD VILLAGE, CO 801112146
Phone: (303) 689-2300
Fax: (303) 991-9805
Type: Mailing
3750 N BRIARWOOD LN
MUNCIE, IN 47304
Phone: (765) 213-6373
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $3,137.
Total Amount is formed as General ($3,137) + Research ($0) + Ownership ($0) = $3,137.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Spinal Simplicity, LLC ($2,838).
Total Amount
$3,137
General + Research + Ownership
Payments
23
Total payment records
General Amount
$3,137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Spinal Simplicity, LLC | $2,838 |
| MicroVention, Inc. | $200 |
| Boston Scientific Corporation | $42 |
| Azurity Pharmaceuticals, Inc. | $23 |
| Abbott Laboratories | $19 |
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: 2007-02-01
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 |
|---|---|---|---|---|
| I20070201000122 | I | Physician Assistant | IN | 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 | 704 | 209 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 144 | 106 | $0 |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 62 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 50 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 43 | 11 | $0 |
Insurance plans in this area (ZIP 80111)
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