DR. JAMES H MORGAN MD
NPI 1154346237
Family Medicine in Edina, MN

Q: What is James Morgan's NPI number?

The NPI number for James Morgan is 1154346237. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is James Morgan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Morgan was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment

86.51/100

CMS Quality Rating

6545 FRANCE AVE S STE 150, EDINA, MN 55435(952) 848-5600 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2026, Mar 11, 2026, Dec 1, 2025 and 3 more (6 updates tracked since 2022).

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About Dr. James H Morgan Md NPPES

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

DR. JAMES H MORGAN MD (NPI 1154346237) is an individual family medicine provider in Edina, Minnesota, licensed in Minnesota (48711) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1154346237

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES H MORGANCredential: MD

Location Address6545 FRANCE AVE S STE 150Edina, MN 55435-2180

Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (651) 232-1123

Phone(952) 848-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 12, 2006

Last NPPES UpdateApril 13, 20266 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1154346237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 48711✔ Licensed in LA · 349010✔ Licensed in FL · ME172041✔ Licensed in IN · 01095760A✔ Licensed in VA · 0101287925✔ Licensed in MN · 102390

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6545 FRANCE AVE S STE 150, Edina, MN 55435

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Secondary Practice Locations 4

Location 152 Underwood StOrlando, FL 32806-1110 · Phone (888) 805-0085 · Fax (321) 896-7623

Location 21300 Sentara Park # 3Virginia Beach, VA 23464-5884 · Phone (757) 252-3050 · Fax (757) 222-3106

Location 31401 Roosevelt AveYork, PA 17404-2244 · Phone (877) 232-5807

Location 41021 Bandana Blvd E Ste 100Saint Paul, MN 55108-5109 · Phone (651) 241-9700 · Fax (651) 241-9683

Other Identifiers 1

Medicaid398460500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. James H 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 ID5496758302

PECOS Enrollment IDI20060815000250, I20250923002656, I20260210003971

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 8

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 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.

110 services107 patients

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.

30 services30 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.

17 services17 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

15 services15 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

15 services15 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

86.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Cost

67.96

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.

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