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DARLENE MONIQUE MORGAN MD
NPI 1184699175
Obstetrics & Gynecology in Neptune, NJ

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Darlene Monique Morgan Md NPPES

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

DARLENE MONIQUE MORGAN MD (NPI 1184699175) is an individual obstetrics & gynecology provider in Neptune, New Jersey, licensed in New Jersey (25MA07811800) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2000).

NPPES Registry Identity

NPI1184699175
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDARLENE MONIQUE MORGANCredential: MD
Location AddressPO BOX 766Neptune, NJ 07754-0766
Mailing AddressPo Box 766Neptune, NJ 07754-0766 · (732) 647-5232
Phone(732) 647-5232
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2000
Enumeration DateFebruary 22, 2006
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1184699175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA07811800
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
PO BOX 766, Neptune, NJ 07754
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Providence Health Plan.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

Darlene Monique 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 ID5395791230
PECOS Enrollment IDI20050324000041
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 Reassignments

5

Medicare enrollment records show Darlene Morgan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
8.7 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Ocean Health Initiatives, Inc.
9.7 mi
Federally Qualified Health Center (FQHC)
1610 ROUTE 88
Brick, NJ 08724
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1679096796 (732) 363-6655
Ob Hospitalist Services New Jersey, PA
586 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
NPI 1801169966 (800) 967-2289
Hospital Medicine Services Of Tn, LLC
747 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
Arkansas Health Group
1,037 mi
Surgery
1703 N BUERKLE ST STE 1
Stuttgart, AR 72160
  • Reassigned Medicare billing, Arkansas enrollment
  • 140 clinicians in this Medicare group
NPI 1952840555 (870) 674-6190

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07754 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Reported Quality Measures

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.
67%354 patients3/55-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.
5%64 patients1/55-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…
92%64 patients4/55-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…
75%64 patients4/55-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.

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 Darlene Morgan's NPI number?

The NPI number for Darlene Morgan is 1184699175. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Darlene Morgan located?

Darlene Morgan practices at PO Box 766, Neptune, NJ 07754. The listed phone number is (732) 647-5232.

What is Darlene Morgan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Darlene Morgan enrolled in Medicare?

Yes. Darlene 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.

Which organizations bill Medicare for Darlene Morgan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Morgan reassigns Medicare benefits to 5 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Ocean Health Initiatives, Inc. (Brick, NJ), Ob Hospitalist Services New Jersey, PA (Greenville, SC), Hospital Medicine Services Of Tn, LLC (Nashville, TN) and Arkansas Health Group (Stuttgart, AR). Each 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 Darlene Morgan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darlene Morgan accept?

Health plans from Oscar Health, Oscar Insurance Company and Providence Health Plan list Darlene 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 Darlene Morgan was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.