Active NPI
Carrie Elizabeth Montgomery, DO
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2024034947
- Practice address
- 13303 Tesson Ferry Rd Ste 45
Saint Louis, MO 63128-4062 - Phone
- (314) 748-5917
- Fax
- (314) 748-5919
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2024034947 | MO | Primary |
Addresses
Primary practice location
13303 Tesson Ferry Rd Ste 45
Saint Louis, MO 63128-4062
Mailing address
PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000
Other practice location 1
1201 Landmark Ave Ste 5
Liberty, MO 64068-3738
Phone (816) 256-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920002417 | MO | Practitioner - Family Practice | 2961803812 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- American Multispecialty Group Inc
Practice addresses (Care Compare)
13303 Tesson Ferry Rd
Suite 45
Saint Louis, MO 63128-4062
Phone (314) 748-5917
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- SSM St Clare Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.37 of 100
- Quality
- 79.66
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Multispecialty Group Inc. | Family Medicine | Current | Accepting new patients |
Locations
1475 Kisker Rd
Ste 230
Saint Charles, MO 63304
Phone (636) 939-5000
13303 Tesson Ferry Rd
Ste 45
Saint Louis, MO 63128
Phone (314) 748-5917
9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827
Interoperability endpoints
- carrie.montgomery.p1@direct.essehealth.nextgenshare.com
- carrie.montgomery@hca2.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
Family Medicine, MO
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1508445800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419052",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631419052",
"telephone_number": "314-851-1000",
"fax_number": "314-851-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13303 TESSON FERRY RD STE 45",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631284062",
"telephone_number": "314-748-5917",
"fax_number": "314-748-5919"
}
],
"practiceLocations": [
{
"address_1": "1201 Landmark Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Liberty",
"state": "MO",
"postal_code": "640683738",
"country_code": "US",
"telephone_number": "816-256-4733",
"fax_number": "800-856-9143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "CARRIE",
"middle_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2024034947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Jessica Nicole Montgomery Mims, APRN, FNP-C
- Allison Montgomery, LCSW
- Andrea Jane Montgomery, AGNP
- Blake Karlton Montgomery, MD
- Brett Montgomery
- Conal Christopher Montgomery, M.ED., LPC
- Jeanette Ruth Montgomery, C.N.P.
- Laura Anne Montgomery, LCSW
- Mary Brown Montgomery, CPNP
- Peyton Taylor Montgomery, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.