Gary Dale Montgomery, PA-C
NPI 1104299601ActiveIndividual· Physician Assistant· Everett, WA
Physician Assistant (PA-C) with Rural Physicians Group-Pannu PLLC and 1 other group, practicing in Everett, Washington. 117 Medicare patients in 2024, $11,216 paid; nearly all of their 192 Part D prescriptions were generic (90%). Lists Mackinac Straits Hospital and Health Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1104299601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 5, 2015 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60577634 | WA |
| Physician Assistant | 363A00000X | 5601013078 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 253 across 31 procedure codes |
| Paid by Medicare | $11,216 |
Part D prescriptions in 2024
| Prescriptions (claims) | 192 · 202 30-day fills |
|---|---|
| Patients | 145 |
| Total drug cost | $6,160 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Rural Physicians Group-Pannu PLLCClarkston, WA · 147 clinicians
- East Phillips County Hospital DistrictHolyoke, CO · 17 clinicians
Hospital affiliations
- Mackinac Straits Hospital and Health CenterSaint Ignace, MI
- Melissa Memorial HospitalHolyoke, CO
- Sheridan Community HospitalSheridan, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 146 physician assistants in Everett · All physician assistants in Washington