Active NPI
Kenneth Dale Montgomery, M.D.
- Orthopaedic Surgery Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 188735-1
- Practice address
- 160 E Hanover Ave
Morristown, NJ 07960-3150 - Phone
- (973) 538-2334
- Fax
- (973) 538-1297
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 188735-1 | NY | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 25MA08100000 | NJ |
Addresses
Primary practice location
160 E Hanover Ave
Morristown, NJ 07960-3150
Mailing address
160 E Hanover Ave
PO Box 1446
Morristown, NJ 07960-3150
Phone (973) 538-2334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA08100000 | Other | NJ | NEW JERSEY LICENSE |
| 188735-1 | Other | NY | NEW YORK LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
197 Ridgedale Ave
Suite 300
Cedar Knolls, NJ 07927-2111
Phone (973) 538-2334
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.23 of 100
- Quality
- 79.62
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 73.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 15 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08100000 | NJ | MD | Orthopaedic Surgery Physician |
| 188735-1 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Orthopaedic & Sports Medicine PA | Orthopaedic Surgery | Current | Accepting new patients |
| Tri-County Orthopaedic & Sports Medicine PA | Orthopaedic Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
197 Ridgedale Ave
Ste 1
Cedar Knolls, NJ 07927
197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916
160 E Hanover Ave
Morristown, NJ 07960
Phone (973) 538-0900
90 US Highway 22 W
Springfield, NJ 07081
Phone (973) 467-0963
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912
Organizations & group practices 3
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.
-
dba Tri-County Orthopedics
- Specialist
- Cedar Knolls, NJ
- NPI 1447213962
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Lake Hopatcong, NJ
- NPI 1235887548
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1922042720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E HANOVER AVE",
"address_2": "PO BOX 1446",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603150",
"telephone_number": "973-538-2334",
"fax_number": "973-538-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E HANOVER AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603150",
"telephone_number": "973-538-2334",
"fax_number": "973-538-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "KENNETH",
"middle_name": "DALE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "188735-1",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA08100000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY LICENSE",
"identifier": "25MA08100000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "188735-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.