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NICHOLAS SHEPHERD MORGAN
NPI 1194354472
Internal Medicine in Conroe, TX

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
3251 INTERSTATE 45 N STE 100, CONROE, TX 77304(936) 483-2612 Get Directions Write a Review

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

Record update history: Aug 8, 2023, Apr 13, 2020, Apr 7, 2020 (3 updates tracked since 2020).

About Nicholas Shepherd Morgan NPPES

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

NICHOLAS SHEPHERD MORGAN (NPI 1194354472) is an individual internal medicine provider in Conroe, Texas, licensed in Texas (U5764) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of University Of Oklahoma College Of Medicine (2020).

NPPES Registry Identity

NPI1194354472
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS SHEPHERD MORGAN
Location Address3251 INTERSTATE 45 N STE 100Conroe, TX 77304-2185
Mailing Address3251 Interstate 45 N Ste 100Conroe, TX 77304-2185 · (936) 483-2612
Phone(936) 483-2612
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateFebruary 25, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2024
✔ NPI 1194354472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U5764
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3251 INTERSTATE 45 N STE 100, Conroe, TX 77304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nicholas Shepherd Morgan 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 ID4486077526
PECOS Enrollment IDI20230823002998
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 Reassignment

Medicare enrollment records show Nicholas Morgan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor St. Luke's Medical Group
11 mi
Internal Medicine
17350 ST LUKES WAY STE 400
The Woodlands, TX 77384
  • Reassigned Medicare billing, Texas enrollment
  • 169 clinicians in this Medicare group
NPI 1740485879 (936) 266-3513

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 11

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.
211 services119 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.
152 services127 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.
76 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MELANIE L HODGES MSN, APRN, FNP-BC
Nurse Practitioner (Family)
3251 INTERSTATE 45 N STE 100
CONROE, TX 77304
Montgomery County (936) 441-9000
ADRIENNE CONROY
Family Medicine
3251 INTERSTATE 45 N STE 100
CONROE, TX 77304
Montgomery County (936) 441-9000
SUSAN BALLENTINE RN
Registered Nurse
3251 INTERSTATE 45 N STE 100
CONROE, TX 77304
Montgomery County (936) 520-9604
MRS. TRACIE MARIE DELANEY APRN, FNP-C
Nurse Practitioner (Family)
3251 INTERSTATE 45 N STE 100
CONROE, TX 77304
Montgomery County (936) 441-9000

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 Nicholas Morgan's NPI number?

The NPI number for Nicholas Morgan is 1194354472. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Nicholas Morgan located?

Nicholas Morgan practices at 3251 Interstate 45 N Ste 100, Conroe, TX 77304. The listed phone number is (936) 483-2612.

What is Nicholas Morgan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Morgan enrolled in Medicare?

Yes. Nicholas 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 organization bills Medicare for Nicholas Morgan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Morgan reassigns Medicare benefits to Baylor St. Luke's Medical Group (The Woodlands, TX). The 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 Nicholas Morgan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Morgan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Nicholas 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.

Is Nicholas Morgan affiliated with any hospitals?

According to CMS data, Nicholas Morgan is affiliated with St Luke's The Woodlands Hospital and Chi St Lukes Lakeside Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Morgan was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.