Doctor profile · Federal record

Dr. Carolyn Montgomery, PA-C

Physician Assistant · Physician Assistant · Maple Grove, MN

  • NPI 1588769913
  • Accepts Medicare
  • 22 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
9555 Upland Ln N
Maple Grove, MN 553694485
(952) 993-1440

Credentials & registration

NPPES · NUCC
NPI registered
September 2006 — 20 yrs on file
Profile last updated
February 11, 2020
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Minnesota #13212 · Indiana #10000785A
Medicaid
KY #95005716

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588769913. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
45
Distinct HCPCS
2
Medicare allowed
$3,627
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 33 31 $73
99214 Established patient office or other outpatient visit, 30-39 minutes 12 12 $102

In context: peer comparison

Among 22 peers in this city , average services per provider: 49. This provider delivers 0.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
46
Patients
23
Total drug cost
$463
Drug Type Claims Patients Total cost
Cephalexin Generic 13 12 $93
Amlodipine Besylate Generic 11 0 $115
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 11 11 $130
Doxycycline Hyclate Generic 11 0 $126

Frequently asked questions

Auto-generated from federal data
What is Dr. Carolyn Montgomery's medical specialty?
Dr. Carolyn Montgomery practices Physician Assistant in Maple Grove, MN.
Where does Dr. Carolyn Montgomery practice?
Dr. Carolyn Montgomery practices at 9555 Upland Ln N, Maple Grove, MN 553694485. Office phone: 9529931440.
What is Dr. Carolyn Montgomery's NPI?
Dr. Carolyn Montgomery's National Provider Identifier (NPI) is 1588769913, issued by NPPES.
Does Dr. Carolyn Montgomery accept Medicare assignment?
Yes. Dr. Carolyn Montgomery accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carolyn Montgomery commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.