Robert Lance Montgomery, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

G65982 Issued in CA

Practice address

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116

Phone

(949) 586-3200

Fax

(949) 900-2116

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Orthopedic Surgery

Education

University of California, Irvine, California College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of Irvine, LLC Home health agency, Irvine, CA, CCN 053149
• Grandcare Home Health Services Home health agency, Pasadena, CA, CCN 058277
• Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Orthowest

  • Orthopaedic Surgery Physician
  • Laguna Woods, CA
  • NPI 1760007330
  Medicare reassignment Care Compare group NPD
• South County Orthopedic Specialists

  • Specialist
  • Laguna Woods, CA
  • NPI 1053314625
  Medicare reassignment NPD
• Orthowest

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1497356489

  Adult Reconstructive Orthopaedic Surgery

  NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)

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

• Mission Home Health of Irvine, LLC

  • Home Health Agency
  • Irvine, CA
  • NPI 1013309707
  Care Compare affiliation
• MSJ Healthcare LLC

  • Home Health Agency
  • Pasadena, CA
  • NPI 1326272766
  Care Compare affiliation
• Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
  • NPI 1275576381
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1952304594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROBERT",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G65982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G659820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL-OPTIMA",
            "identifier": "00G659820G89",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "RR2000 33606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Modrzejewska, PHARMD.
• Mohsin Mahmood DDS Inc
• David Molho, MD
• Shirin N Moltaji, PHARMD
• Jeffrey Ky Money, D.C
• Lonnie J Moskow, M.D.
• Talar Taha Moy, FNP
• James E Mullen, M.D.
• Sherrinn Mullen
• Karla Mussly, OTA/L

• Adult Reconstructive Orthopaedic Surgery Physician in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.

Verify at the official NPI Registry.