Individual provider Active NPI

Matthew L Montgomery, M.D.

  • Surgery Physician
  • Hanover, PA
National Provider Identifier
1437190600
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD053492L Issued in PA
Practice address
2201 Brunswick Dr Ste 2300
Hanover, PA 17331-8350
Phone
(717) 316-7165
NPI assigned
Jun 9, 2006
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD053492L PA Primary

Addresses

Primary practice location

2201 Brunswick Dr Ste 2300
Hanover, PA 17331-8350

Mailing address

100 Penn St
Hanover, PA 17331-1956
Phone (717) 646-1117

Other practice location 1

100 Penn St
Hanover, PA 17331-1956
Phone (717) 646-1117

Other identifiers 1

IdentifierTypeStateIssuer
0016392900004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000603 PA Practitioner - General Surgery 2264407873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

100 Penn St
Suite a
Hanover, PA 17331-1956
Phone (717) 646-1117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2023 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Toselli, Brusko & Garcia, Surgical Associates Surgery Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Upmc Hanover Past Accepting new patients

Locations

100 Penn St
Ste A
Hanover, PA 17331
Phone (717) 646-1117

2201 Brunswick Dr
Ste 2300
Hanover, PA 17331
Phone (717) 316-3670

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: mmontgomery538673@upmc.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1437190600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311956",
            "telephone_number": "717-646-1117",
            "fax_number": "717-632-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BRUNSWICK DR STE 2300",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318350",
            "telephone_number": "717-316-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Penn St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173311956",
            "country_code": "US",
            "telephone_number": "717-646-1117",
            "fax_number": "717-632-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD053492L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016392900004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.