Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Dale Montgomery, PA-C

Individual provider Physician Assistant · NPI 1104299601

Gary Dale Montgomery, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2013, 13 years ago. Practices with East Phillips County Hospital District, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
13
Licensed in
MI, WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12800 Bothell Everett Hwy Ste A
Everett, WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 903-3142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 N State St, Saint Ignace, MI 49781-1048 — (303) 390-1940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60577634 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 5601013078 (MI)

Record details

NPI number1104299601
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice East Phillips County Hospital District — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients117
Services billed 253 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Sheridan Community Hospital Hospital · Sheridan, MI
  • Mackinac Straits Hospital And Health Center Hospital · Saint Ignace, MI
  • Melissa Memorial Hospital Hospital · Holyoke, CO

Also affiliated with 1 nursing home, which CMS identifies by certification number only.

Colleagues at East Phillips County Hospital District

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 17 clinicians in the practice; 12 are shown here.

Other providers in Everett