Tywanna Jaye Montgomery
NPI 1164147187ActiveIndividual· Family Medicine, Adult Medicine· Largo, FL
Family Medicine, Adult Medicine with Legacy Health Medical Group, LLC and 1 other group, practicing in Largo, Florida. In 2024 Medicare paid $177,375 for 219 patients, and Part D covered 3,562 of their prescriptions, 88% of them generic.
Overview
| NPI | 1164147187 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 12, 2022 |
| Last updated in NPPES | Oct 12, 2022 |
| Certified by provider | Oct 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 11022335 | FL |
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 - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 2,672 across 12 procedure codes |
| Paid by Medicare | $177,375 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,562 · 3,662 30-day fills |
|---|---|
| Patients | 201 |
| Total drug cost | $173,148 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Legacy Health Medical Group, LLCLargo, FL · 18 clinicians
- Value Based Long Term Care F PCLargo, FL · 17 clinicians
Other facilities
- Enhabit Home HealthHome health agency · Clearwater, FL
- Hygeia Home Health LLCHome health agency · Largo, FL
- Instruments for Hope LLCHome health agency · Largo, FL
- Keystone Home Health IncHome health agency · St Petersburg, FL
- Pinellas 1 Home Health Care CorpHome health agency · Clearwater, FL
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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