Tara Lyn Montgomery-Johnson, PA-C
NPI 1366490005ActiveIndividual· Physician Assistant· Coldwater, MI
Physician Assistant (PA-C) in Coldwater, Michigan, licensed in MI, with an NPI issued in May 2006. Their prescriptions cost Medicare Part D more than their services did: $455,220 for 6,345 claims, against $119,219 paid for services in 2024.
Overview
| NPI | 1366490005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Nov 2, 2023 |
| Certified by provider | Nov 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601004621 | 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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 255 |
|---|---|
| Services billed | 2,258 across 14 procedure codes |
| Paid by Medicare | $119,219 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,345 · 6,357 30-day fills |
|---|---|
| Patients | 319 |
| Total drug cost | $455,220 |
| Generic share | 84% of claims |
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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