Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Gary Dale Montgomery , PA-C

Physician Assistant โ€ข Everett, WA

Active NPI 1104299601 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

12800 Bothell Everett Hwy, Ste A
Everett, WA 982086642

Call 4253165150 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12800 Bothell Everett Hwy
Ste A

Everett, WA 982086642

Telephone 4253165150
Fax 4259033142
Organization at the Same NPPES Address or Phone
Western Washington Medical Group, Inc Ps Facility NPI 1427005313

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Ignace, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: East Phillips County Hospital District; Rural Physicians Group-Pannu Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Medicare patients

117 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $12,097 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $9,428 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

92 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$713 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gary Montgomery has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Gary Montgomery as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Everett and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Everett, WA (2024, 69 clinicians with data). Median for this group: 159. Middle half: 61 to 400.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Everett, WA (2024, 69 clinicians with data). Median for this group: $12,097. Middle half: $5,100 to $22,771.

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Everett, WA (2024, 69 clinicians with data). Median for this group: $8,837. Middle half: $3,705 to $16,423.

Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Everett, WA (2024, 86 clinicians with data). Median for this group: 166. Middle half: 62 to 580.

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Everett, WA (2024, 86 clinicians with data). Median for this group: $2,430. Middle half: $671 to $17,426.

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

144 active clinicians are listed under Physician Assistant with a practice address in Everett, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

15.3% of these 144 clinicians have the CMS telehealth indicator.

71.5% of these 144 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
73 70 $176.26 $77.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 23 $254.65 $109.73
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
17 17 $278.13 $139.78
81003 Automated urinalysis test
16 16 $5.00 $2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $222.00 $95.55

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 21 183 $192.63 21
Azithromycin Azithromycin 15 75 $61.06 15
Fluticasone Propionate Fluticasone Propionate 15 480 $143.73 15
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 14 92 $201.94 14
Amoxicillin Amoxicillin 13 94 $35.32 13
Cephalexin Cephalexin 13 87 $78.55 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA60577634

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601013078

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250402002025

Enrollment State Jurisdiction

MI

PECOS Control ID

1456636745

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Rural Physicians Group-Pannu Pllc

301 N Main St, Sheridan, MI 488849235

Phone: 9892913261

Rural Physicians Group-Pannu Pllc

1140 N State St, Saint Ignace, MI 497811048

Phone: 9066437999

East Phillips County Hospital District

1001 E Johnson St, Holyoke, CO 807341854

Phone: 97085422412130

Secondary Practice Locations

1140 N State St

Saint Ignace, MI 497811048

Phone: 3033901940

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
NPI 1134106867

Doctor of Medicine (M.D.)

NPI 1265454847

Doctor of Medicine (M.D.)

Maureen Floeting , PA-C

Physician Assistant

NPI 1326196726

Physician Assistant (Certified)

Michelle Lydston , PA-C

Physician Assistant

NPI 1194746222

Physician Assistant (Certified)

Dr. Songyan Mao , MD

Family Medicine

NPI 1235160474

Doctor of Medicine (M.D.)

NPI 1598858417

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2025

Physician Assistant (license number reported to NPPES: MI 5601013078)

โœ…
NPI Profile Active October 09, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address October 09, 2017

Registered at PO BOX 827, BELLEVUE, WA 980090827 (Tel: 4255636258)

๐Ÿ“
Updated Practice Location October 09, 2017

Registered at 12800 BOTHELL EVERETT HWY, STE A, EVERETT, WA 982086642 (Tel: 4253165150)

๐Ÿ‘ค
Provider Name / Credentials Updated October 09, 2017

Recorded as GARY MONTGOMERY, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2017

Physician Assistant (license number reported to NPPES: WA PA60577634)

๐Ÿ“
Updated Practice Location March 08, 2017

Registered at 12800 BOTHELL EVERETT HWY, STE A, EVERETT, WA 982086642 (Tel: 4253165150)

๐Ÿ“
Updated Business Mailing Address March 08, 2017

Registered at PO BOX 3360, PORTLAND, OR 972083360

โœ…
NPI Profile Active November 05, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 05, 2015

Registered at 3900 FACTORIA BLVD SE, STE A, BELLEVUE, WA 980061234 (Tel: 4259033141)

๐Ÿ“
Business Mailing Address (Initial Record) November 05, 2015

Registered at PO BOX 24105, SEATTLE, WA 981240105 (Tel: 4259033141)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 05, 2015

Recorded as GARY MONTGOMERY, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2015

Physician Assistant (license number reported to NPPES: WA PA60577634)

๐ŸŸข
Initial NPI Registration & Enumeration November 05, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104299601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2015
Last Update: May 20, 2025
Sole Proprietor: No

Other Physician Assistants in Everett

All Physician Assistants in Everett

Mailing Address

Po Box 827

Bellevue, WA 980090827

Phone: 4255636258

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.