Dr. Samuel Jacob Montgomery JR.

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Samuel Jacob Montgomery JR.
Gender:	M
Provider License Number If Given:	20855

NPI Information:

NPI:	1467488551
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/23/2006
Last Update Date:	1/20/2010
Reputation Report:

Provider Business Mailing Address:

Address:	22995 HWY 76 EAST Clinton, SC 29325
Phone Number:	8648330038
Fax Number:	8648330520

Provider Business Practice Location Address:

Address:	22995 HIGHWAY 76 E Clinton, SC 29325
Phone Number:	8648330038
Fax Number:	8648330520

Provider Taxonomy:

Primary:	207W00000X
Secondary (if any):
State:	SC

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About Dr. Samuel Jacob Montgomery JR.

Dr. Samuel Jacob Montgomery JR.(DR. SAMUEL JACOB MONTGOMERY JR.) is An Ophthalmology Physician in Clinton, SC. The NPI Number for Dr. Samuel Jacob Montgomery JR. is 1467488551.

The current location address for Dr. Samuel Jacob Montgomery JR. is 22995 HIGHWAY 76 E Clinton, SC 29325 and the contact number is 8648330038 and fax number is 8648330520. The mailing address for Dr. Samuel Jacob Montgomery JR. is 22995 HWY 76 EAST Clinton, SC 29325- 8648330038 (mailing address contact number - 8648330038).

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Samuel Jacob Montgomery JR.?

Answer: The NPI Number for Dr. Samuel Jacob Montgomery JR. is 1467488551

Where is Dr. Samuel Jacob Montgomery JR. located?

Answer: Dr. Samuel Jacob Montgomery JR. is located at 22995 HIGHWAY 76 E Clinton, SC 29325.

What is the specialty for Dr. Samuel Jacob Montgomery JR.?

Answer: The Specialty of Dr. Samuel Jacob Montgomery JR. is An Ophthalmology Physician.

Are there any online reviews for Dr. Samuel Jacob Montgomery JR.?

Answer: Yes! Check It Now.

Are there any other health care providers in Clinton, SC?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Samuel Jacob Montgomery JR.

Number of HCPCS	49
Number of Medicare Beneficiaries	1848
Number of Services	9475
Total Submitted Charge Amount	3099144
Total Medicare Allowed Amount	1114401.06
Total Medicare Payment Amount	853072.68
Total Medicare Standardized Payment Amount	886116.77
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	3
Number of Medicare Beneficiaries With Drug Services	21
Number of Drug Services	225
Total Drug Submitted Charge Amount	372192
Total Drug Medicare Allowed Amount	195628.85
Total Drug Medicare Payment Amount	157236.91
Total Drug Medicare Standardized Payment Amount	154150.91
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	46
Number of Medicare Beneficiaries With Medical	1848
Number of Medical Services	9250
Total Medical Submitted Charge Amount	2726952
Total Medical Medicare Allowed Amount	918772.21
Total Medical Medicare Payment Amount	695835.77
Total Medical Medicare Standardized Payment Amount	731965.86
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	65
Number of Beneficiaries Age 65 to 74	894
Number of Beneficiaries Age 75 to 84	660
Number of Beneficiaries Age Greater 84	229
Number of Female Beneficiaries	1096
Number of Male Beneficiaries	752
Number of Non-Hispanic White Beneficiaries	1559
Number of Black or African American Beneficiaries	228
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified	39
Number of Beneficiaries With Medicare & Medicaid Entitlement	90
Number of Beneficiaries With Medicare Only Entitlement	1758
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.08
Percent (%) of Beneficiaries Identified With Asthma	0.05
Percent (%) of Beneficiaries Identified With Cancer	0.07
Percent (%) of Beneficiaries Identified With Heart Failure	0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.08
Percent (%) of Beneficiaries Identified With Depression	0.21
Percent (%) of Beneficiaries Identified With Diabetes	0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.63
Percent (%) of Beneficiaries Identified With Hypertension	0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.27
Percent (%) of Beneficiaries Identified With Osteoporosis	0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.01
Percent (%) of Beneficiaries Identified With Stroke	0.03
Average HCC Risk Score of Beneficiaries	0.967

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Ophthalmology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	5063
Number of Standardized 30-Day Fills	6833.7666667
Aggregate Cost Paid for All Claims	891239.01
Number of Day's Supply for All Claims	179703
Number of Medicare Beneficiaries	1376
Number of Claims, Including Refills, for Beneficiaries Age 65+	4645
Including Refills, for Beneficiaries Age 65+	6331.4666667
Beneficiaries Age 65+	806255.99
Number of Day's Supply for All Claims for Beneficaries Age 65+	166905
Number of Medicare Beneficiaries Age 65+	1262
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	2810
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2253
Aggregate Cost Paid for Generic Drugs	86585.18
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2570
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	450756.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2493
Aggregate Cost Paid for Claims Filled by	440482.51
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1630
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	354745.6
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	3433
by Low-Income Subsidy	536493.41
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	94
Aggregate Cost Paid for Antibiotic Drugs	3584.22
Antibiotic Claims	36
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	73.870639535
Number of Beneficiaries Age Less Than 65	114
Number of Beneficiaries Age 65 to 74	661
Number of Beneficiaries Age 75 to 84	454
Number of Female Beneficiaries	844
Number of Male Beneficiaries	532
Number of Non-Hispanic White	924
Number of Black or African American	404
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	18
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not	17
Only Entitlement	1087
Average Hierarchical Condition Category	1.1692321896

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