Bailey Montgomery, PHYSICIAN ASSISTANT
NPI 1649793852ActiveIndividual· Physician Assistant, Medical· Cheyenne, WY
Physician Assistant, Medical (PHYSICIAN ASSISTANT) with Cheyenne Womens Clinic,pc, practicing in Cheyenne, Wyoming. Their prescriptions cost Medicare Part D more than their services did: $10,643 for 81 claims, against $5,266 paid for services in 2024. Lists Cheyenne Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1649793852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jul 19, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PT800 | WY |
| Physician Assistant, Medical | 363AM0700X | PA54548 | — |
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 (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 191 across 13 procedure codes |
| Paid by Medicare | $5,266 |
Part D prescriptions in 2024
| Prescriptions (claims) | 81 · 145 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $10,643 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Cheyenne Womens Clinic,pcCheyenne, WY · 7 clinicians
Hospital affiliation
- Cheyenne Regional Medical CenterCheyenne, WY
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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