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DR. JAMES R MORGAN DDS PHD
NPI 1184609026
Dentist - Oral and Maxillofacial Surgery in Hiawatha, IA

Active since December 14, 2005Opted out of Medicare · through Apr 1, 2028
1275 N. CENTER POINT RD, HIAWATHA, IA 52233(319) 743-0077(319) 743-0102 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 27, 2019, Jul 19, 2019 (2 updates tracked since 2019).

About Dr. James R Morgan Dds Phd NPPES

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

DR. JAMES R MORGAN DDS PHD (NPI 1184609026) is an individual oral and maxillofacial surgery provider in Hiawatha, Iowa, licensed in Iowa (8116) and active in the NPI registry since December 2005. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184609026
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAMES R MORGANCredential: DDS PHD
Location Address1275 N. CENTER POINT RDHiawatha, IA 52233
Mailing Address1275 N. Center Point RdHiawatha, IA 52233 · (319) 743-0077 · Fax (319) 743-0102
Phone(319) 743-0077
Fax(319) 743-0102
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateNovember 27, 20192 updates tracked since enumeration
✔ NPI 1184609026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IA · 8116
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1275 N. CENTER POINT RD, Hiawatha, IA 52233
Open in Google Maps ↗

Other Identifiers 1

Other39405IA · Wellmark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James R Morgan Dds Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2008 through April 1, 2028.

Opt-Out Effective DateApril 1, 2008
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52233 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 2

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

DR. DOMINIC G MORIO DDS MS
Dentist (Oral and Maxillofacial Surgery)
1275 N. CENTER POINT RD
HIAWATHA, IA 52233
Linn County (319) 740-0077
WILLIAM MORIO
Dentist (Oral and Maxillofacial Surgery)
1275 N. CENTER POINT RD
HIAWATHA, IA 52233
Linn County (319) 743-0077

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 James Morgan's NPI number?

The NPI number for James Morgan is 1184609026. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is James Morgan located?

James Morgan practices at 1275 N. Center Point Rd, Hiawatha, IA 52233. The listed phone number is (319) 743-0077.

What is James Morgan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Morgan enrolled in Medicare?

No. James Morgan has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Morgan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list James Morgan 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 James Morgan was last updated on November 27, 2019. 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.