Doctor profile · Federal record
Dr. Mandrill Montgomery, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Greenville, SC
- NPI 1255505665
- Accepts Medicare
- MIPS 96.1 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
701 Grove RD
Greenville, SC 296055611
(864) 454-7111
fax (864) 455-6441 - Mailing address
-
1 Independence PT, Suite 212
Greenville, SC 296154545
Credentials & registration
- NPI registered
- April 2008 — 18 yrs on file
- Profile last updated
- March 19, 2014
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- South Carolina #101035
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255505665. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
16
Distinct HCPCS
1
Medicare allowed
$3,898
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00560 |
Anesthesia for procedure on heart and large blood vessels | 16 | 15 | $244 |
In context: peer comparison
Among 171 peers in Greenville Certified Registered Nurse Anesthetist, average services per provider: 27. This provider delivers 0.6× the peer median.Open Payments
Industry payments received
All-time total
$44
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $17.04 | |
| Janssen Pharmaceuticals, INC | 1 | $13.64 | |
| Lsi Solutions INC | 1 | $13.15 |
By nature of payment
Frequently asked questions
What is Dr. Mandrill Montgomery's medical specialty?
Dr. Mandrill Montgomery practices Certified Registered Nurse Anesthetist in Greenville, SC.
Where does Dr. Mandrill Montgomery practice?
Dr. Mandrill Montgomery practices at 701 Grove RD, Greenville, SC 296055611. Office phone: 8644547111.
What is Dr. Mandrill Montgomery's NPI?
Dr. Mandrill Montgomery's National Provider Identifier (NPI) is 1255505665, issued by NPPES.
Does Dr. Mandrill Montgomery accept Medicare assignment?
Yes. Dr. Mandrill Montgomery accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mandrill Montgomery commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for procedure on heart and large blood vessels (HCPCS 00560). Source: CMS Medicare Physician & Other Practitioners file.