Lisa Montgomery, PA
NPI 1639253347 · Physician Assistant · Russiaville, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Montgomery, PA is a Physician Assistant provider in Russiaville, IN (NPI 1639253347).
Provider details
- NPI number
- 1639253347
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 10000327 (IN)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
798 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 289 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 183 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 155 | $101 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 105 | $9 |
| Urinalysis, Manual Test81002 | 37 | $3 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 129 | 47 |
| Levothyroxine Sodium | 125 | 46 |
| Amlodipine Besylate | 109 | 45 |
| Lisinopril | 82 | 35 |
| Losartan Potassium | 64 | 23 |
| Doxycycline Hyclate | 52 | 41 |
| Metformin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2021-03-24
- Certified
- 2021-03-24
Frequently asked questions
- What is Lisa Montgomery's NPI number?
- Lisa Montgomery's National Provider Identifier (NPI) is 1639253347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Montgomery's specialty?
- Lisa Montgomery is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Montgomery located?
- Lisa Montgomery's practice location on file with NPPES is 3309 S 750 W, Russiaville, IN 46979-9146.
- What is Lisa Montgomery's phone number?
- The practice phone number listed in the NPPES registry for Lisa Montgomery is (765) 883-2273.
- Does Lisa Montgomery accept Medicare?
- Lisa Montgomery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Montgomery's NPI active?
- Yes — Lisa Montgomery's NPI (1639253347) is active in the NPPES registry as of the last update on 2021-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.