NPIMap

Individual provider Active NPI

David O Montgomery, M.D.

  • Surgery Physician
  • Danville, KY
National Provider Identifier
1992790935
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33467 Issued in KY
Practice address
210 W Main St
Danville, KY 40422-1812
Phone
(859) 236-0712
Fax
(859) 236-7858
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 33467 KY Primary

Addresses

Primary practice location

210 W Main St
Danville, KY 40422-1812

Mailing address

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-0712

Other identifiers 1

IdentifierTypeStateIssuer
000000365053OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000185 KY Practitioner - General Surgery 0840233904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision32
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33467KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince May 1, 2019 Accepting new patients
Danville Pathology Associates PLLP Current Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jan 10, 2013 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Jan 10, 2013 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince May 1, 2019 Accepting new patients
Ephraim McDowell Health Resource, Inc Surgery Past Accepting new patients
Danville Surgical Associates PLLC Surgery Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
Vascular Specialists,PLLC Past Accepting new patients
Anjum Bux, M.D., P.S.C. PastSince Jan 1, 2022 Accepting new patients
Surgical Group PSC Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

130 Daniel Dr
Danville, KY 40422
Phone (606) 236-2222

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15622/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 9

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992790935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-0712",
            "fax_number": "859-236-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221812",
            "telephone_number": "859-236-0712",
            "fax_number": "859-236-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "33467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000365053",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.