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DR. MARK SCOTT MORGINSTIN DO
NPI 1124000278
Internal Medicine - Hematology & Oncology in Philadelphia, PA

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141(215) 456-3800 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Scott Morginstin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK SCOTT MORGINSTIN DO (NPI 1124000278) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS011961) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1124000278
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MARK SCOTT MORGINSTINCredential: DO
Location Address5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTERPhiladelphia, PA 19141
Mailing Address101 E Olney Ave, Suite 400Philadelphia, PA 19120-2421 · (215) 456-3880 · Fax (215) 254-2599
Phone(215) 456-3800
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1996
Enumeration DateNovember 15, 2005
Last NPPES UpdateJune 20, 2011
✔ NPI 1124000278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · OS011961
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 042818 (CT)
5501 OLD YORK ROAD, Philadelphia, PA 19141
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Other Identifiers 4

Medicare UPINI31094
Medicare PIN119537K4TPA
Medicare ID-Type Unspecified110009551CT
Medicaid101982138PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Scott Morginstin Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143265942
PECOS Enrollment IDI20070827000466
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Morginstin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Einstein Practice Plan Inc
Same address
Anatomic Pathology & Clinical Pathology
5501 OLD YORK RD
Phila, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1114970407 (215) 456-6157

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
503 services282 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
265 services103 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims14 services$18.31 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$35.63 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier23 claims910 services$0.64 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier13 claims123 services$1.63 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$17.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANNA GLINIANSKA DDS
Dentist
5501 OLD YORK ROAD, EINSTEIN HEALTHCARE NETWORK
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8033
SAMIA ALEEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7595
EDWARD SUTTON JR.
Physician Assistant
5501 OLD YORK ROAD, EINSTEINMEDICAL CENTER TABOR EMERGENCY PHYSICIANS
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8037
LAURA MCGARRY DO
Urology
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-5140
SUE Y LEE MD
Orthopaedic Surgery
5501 OLD YORK ROAD, WILLOWCREST ROAD 4TH FL
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7900
ANNA SADUJKO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Philadelphia County (484) 622-1000
MS. BARBARA J HARE CRNP
Nurse Practitioner (Obstetrics & Gynecology)
5501 OLD YORK ROAD, PALEY 3 OB-GYN
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7180
DENISE D. NAJJAR M.D.
Pathology (Neuropathology)
5501 OLD YORK ROAD, TOWER GRD FL
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Morginstin's NPI number?

The NPI number for Mark Morginstin is 1124000278. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Mark Morginstin located?

Mark Morginstin practices at 5501 Old York Road Albert Einstein Medical Center, Philadelphia, PA 19141. The listed phone number is (215) 456-3800.

What is Mark Morginstin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mark Morginstin enrolled in Medicare?

Yes. Mark Morginstin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mark Morginstin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Morginstin reassigns Medicare benefits to Einstein Practice Plan Inc (Phila, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Morginstin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Morginstin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Morginstin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Morginstin affiliated with any hospitals?

According to CMS data, Mark Morginstin is affiliated with Lansdale Hospital, Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Mark Morginstin was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.