Joseph Montgomery
NPI 1376100990 · Physician Assistant · Saint Paul, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1376100990
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 13632 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
212 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 63 | $101 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 48 | $7 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 43 | $147 |
| Critical Care, First 30-74 Minutes99291 | 29 | $177 |
| Electrocardiogram (ecg) 1 to 3 Leads With Review By Physician Only93042 | 16 | $6 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Naproxen | 35 | 34 |
| Cefadroxil | 19 | 19 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 18 |
| Cefuroxime Axetilbrand: Cefuroxime | 16 | 15 |
| Oxycodone Hcl | 16 | 16 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 13 | 13 |
| Doxycycline Hyclate | 11 | 11 |
Practice location
Mailing address
Additional practice locations (4)
- 111 17th Ave EAlexandria, MN 56308-5273Phone: (320) 762-1511
- 927 Churchill St WStillwater, MN 55082-6605Phone: (651) 439-5330
- 357 Salem Ave Sw Apt 414Roanoke, VA 24016-3649Phone: (571) 230-4716
- 817 Commercial StLeavenworth, WA 98826-1316Phone: (509) 548-5815Fax: (509) 548-2510
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.