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DR. MORGAN TIMOTHY HOLMES D.P.M.
NPI 1144220732
Podiatrist in North East, PA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
90 E MAIN ST, SUITE 3, NORTH EAST, PA 16428(814) 725-2715(814) 725-5186 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Morgan Timothy Holmes D.p.m. NPPES

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

DR. MORGAN TIMOTHY HOLMES D.P.M. (NPI 1144220732) is an individual podiatrist in North East, Pennsylvania, licensed in Pennsylvania (SC003377L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1144220732
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MORGAN TIMOTHY HOLMESCredential: D.P.M.
Location Address90 E MAIN ST, SUITE 3North East, PA 16428-1319
Mailing Address90 E Main St, Suite 3North East, PA 16428-1319 · (814) 725-2715 · Fax (814) 725-5186
Phone(814) 725-2715
Fax(814) 725-5186
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1989
Enumeration DateJuly 26, 2005
Last NPPES UpdateNovember 15, 2010
✔ NPI 1144220732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC003377L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
90 E MAIN ST, North East, PA 16428
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Other Identifiers 4

Medicare PIN062967PA
Other481559PA · Highmark
Medicare UPINU13267PW
Medicaid0012954200006PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Morgan Timothy Holmes D.p.m. 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 ID5092904979
PECOS Enrollment IDI20110107000101
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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
341 services145 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
64 services34 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
50 services27 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
27 services27 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
26 services18 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16428 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%163 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
99%151 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%200 patients4/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
100%29 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%29 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%641 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%84 patients5/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%168 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%641 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
22%641 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

NORTH EAST DENTAL ARTS
Dentist (General Practice)
90 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-4700
DR. RACHEL FLEISIG DMD
Dentist (General Practice)
90 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-4700
LISA MARIE WILLIAMS PT
Physical Therapist
90 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-4808
NORTH EAST DENTAL ASSOCIATES
Dentist (General Practice)
90 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-4700
NORTH EAST FOOT CLINIC
Podiatrist (Foot Surgery)
90 E MAIN ST, SUITE 3
NORTH EAST, PA 16428
Erie County (814) 725-2715
DR. MICHAEL THOMAS WILCKO D.M.D.
Dentist (Periodontics)
90 E MAIN ST
NORTH EAST, PA 16428
Erie County (814) 725-4700

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 Morgan Holmes's NPI number?

The NPI number for Morgan Holmes is 1144220732. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Morgan Holmes located?

Morgan Holmes practices at 90 E Main St Suite 3, North East, PA 16428. The listed phone number is (814) 725-2715.

What is Morgan Holmes's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Morgan Holmes enrolled in Medicare?

Yes. Morgan Holmes 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.

What insurance does Morgan Holmes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Morgan Holmes 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.

When was this NPI record last updated?

The NPPES record for Morgan Holmes was last updated on November 15, 2010. 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.