Montgomery Davis
NPI 1265029284ActiveIndividual· Nurse Anesthetist, Certified Registered· College Station, TX
Nurse Anesthetist, Certified Registered with Scott and White Clinic and 2 other groups, practicing in College Station, Texas. Medicare paid $12,909 for services to 81 patients in 2024. Lists Baylor Scott & White Medical Center- College Stati and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1265029284 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 23, 2020 |
| Last updated in NPPES | Feb 20, 2026 |
| Certified by provider | Feb 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 0024195693 | VA |
| Nurse Anesthetist, Certified Registered | 367500000X | 1031057 | TX |
| Nurse Practitioner | 363L00000X | R099213 | AR |
| Nurse Anesthetist, Certified Registered | 367500000X | 1031057 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (HI); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TX); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 85 across 42 procedure codes |
| Paid by Medicare | $12,909 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
- Smg Anesthesia Specialists LLCNorfolk, VA · 514 clinicians
- Pacific Anesthesia IncHonolulu, HI · 109 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center- College StatiCollege Station, TX
- Sentara Norfolk General HospitalNorfolk, VA
- The Queens Medical CenterHonolulu, HI
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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