Individual provider Active NPI

Steven Montgomery, PA C

  • Physician Assistant
  • Prestonsburg, KY
National Provider Identifier
1609829704
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA635 Issued in KY
Practice address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone
(606) 886-8572
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA635 KY Primary

Addresses

Primary practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2206

Other practice location 1

713 Broadway St Ste 301A
Paintsville, KY 41240-1465
Phone (606) 372-1234

Other practice location 2

713 Broadway St Ste 301B
Paintsville, KY 41240-1465
Phone (606) 372-1234

Other practice location 3

400 University Dr Ste 211A
Prestonsburg, KY 41653-1080
Phone (606) 886-6622

Other practice location 4

842 E Mountain Pkwy
Salyersville, KY 41465-8378
Phone (606) 349-8100

Other practice location 5

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2206

Other identifiers 1

IdentifierTypeStateIssuer
95001848MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smontgomery21927@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000852 KY Practitioner - Physician Assistant 5193711158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1110 S Mayo TRL
Paintsville, KY 41240-1273
Phone (606) 788-1345

456 S Lake Dr
Prestonsburg, KY 41653-1298
Phone (606) 886-4346

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions, Inc CurrentSince Aug 19, 2024 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Feb 26, 2025 Accepting new patients
Sterling Health Solutions Inc CurrentSince Aug 19, 2024 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Feb 26, 2025 Accepting new patients

Locations

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

842 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-8100

Interoperability endpoints

  • Direct secure messaging: montgomery.steven.p1@direct.mtcomp.nextgenshare.com
  • Direct secure messaging: smontgomery21927@pikevillekydirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1609829704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Broadway St Ste 301A",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401465",
            "country_code": "US",
            "telephone_number": "606-372-1234",
            "fax_number": "606-372-1240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Broadway St Ste 301B",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401465",
            "country_code": "US",
            "telephone_number": "606-372-1234",
            "fax_number": "606-372-1240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 University Dr Ste 211A",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531080",
            "country_code": "US",
            "telephone_number": "606-886-6622",
            "fax_number": "606-886-1173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "842 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658378",
            "country_code": "US",
            "telephone_number": "606-349-8100",
            "fax_number": "606-349-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "STEVEN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95001848",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smontgomery21927@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.