Individual provider Active NPI

Carrie Elizabeth Montgomery, DO

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1508445800
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024034947 Issued in MO
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

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 1658365572, 118 clinicians

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 Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
79.66
Promoting interoperability
98
Improvement activities
40
Cost
76.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Family Medicine CurrentSince Oct 1, 2024 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

  • Direct secure messaging: carrie.montgomery.p1@direct.essehealth.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Sources for this page

Verify at the official NPI Registry.