GARETH MORGAN MD
NPI 1124436027
Internal Medicine - Hematology & Oncology in New York, NY

Active since July 24, 2014PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
240 E 38TH ST FL 19, NEW YORK, NY 10016(501) 526-2873 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, May 25, 2020 (2 updates tracked since 2020).

About Gareth Morgan Md NPPES

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

GARETH MORGAN MD (NPI 1124436027) is an individual hematology & oncology provider in New York, New York, licensed in Arkansas (E-8730) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1124436027
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameGARETH MORGANCredential: MD
Location Address240 E 38TH ST FL 19New York, NY 10016-2708
Mailing Address240 E 38th St Fl 19New York, NY 10016-2708 · (501) 526-2873
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 24, 2014
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1124436027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AR · E-8730
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.
240 E 38TH ST FL 19, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gareth Morgan Md 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 ID5092937177
PECOS Enrollment IDI20200807002113
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.

Areas of Expertise CMS Part B claims 6

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.
198 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services67 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.
46 services32 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.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Adult Health)
240 E 38TH ST FL 19
NEW YORK, NY 10016
Nurse Practitioner
240 E 38TH ST FL 19
NEW YORK, NY 10016
Dietitian, Registered
240 E 38TH ST FL 19
NEW YORK, NY 10016
Internal Medicine (Hematology)
240 E 38TH ST FL 19
NEW YORK, NY 10016
Psychiatry & Neurology (Neurology)
240 E 38TH ST FL 19
NEW YORK, NY 10016
Nurse Practitioner (Primary Care)
240 E 38TH ST FL 19
NEW YORK, NY 10016
Nurse Practitioner (Women's Health)
240 E 38TH ST FL 19
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
240 E 38TH ST FL 19
NEW YORK, NY 10016

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 Gareth Morgan's NPI number?

The NPI number for Gareth Morgan is 1124436027. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Gareth Morgan located?

Gareth Morgan practices at 240 E 38th St Fl 19, New York, NY 10016. The listed phone number is (501) 526-2873.

What is Gareth Morgan's specialty?

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

Is Gareth Morgan enrolled in Medicare?

Yes. Gareth Morgan 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.

Is Gareth Morgan affiliated with any hospitals?

According to CMS data, Gareth Morgan is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Gareth Morgan was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.