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ATHOL W MORGAN M.D., M.H.S.
NPI 1366453615
Internal Medicine - Cardiovascular Disease in Baltimore, MD

Active since August 11, 2006PECOS Enrolled
96.37/100
CMS Quality Rating
2000 W. BALTIMORE ST, CARDIOLOGY DEPT., BALTIMORE, MD 21223(410) 362-3033(410) 362-3437 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Athol W Morgan M.d., M.h.s. NPPES

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

ATHOL W MORGAN M.D., M.H.S. (NPI 1366453615) is an individual cardiovascular disease provider in Baltimore, Maryland, licensed in Maryland (D37343) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Johns Hopkins University School Of Medicine (1986).

NPPES Registry Identity

NPI1366453615
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameATHOL W MORGANCredential: M.D., M.H.S.
Location Address2000 W. BALTIMORE ST, CARDIOLOGY DEPT.Baltimore, MD 21223
Mailing Address5051 Greenspring Ave, Suite 304Baltimore, MD 21209 · (410) 601-7790 · Fax (410) 601-8704
Phone(410) 362-3033
Fax(410) 362-3437
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1986
Enumeration DateAugust 11, 2006
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1366453615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MD · D37343
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2000 W. BALTIMORE ST, Baltimore, MD 21223
Open in Google Maps ↗

Other Identifiers 2

Medicaid76049122MD
Medicaid006701600MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athol W Morgan M.d., M.h.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153499355
PECOS Enrollment IDI20081001000071
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

4

Medicare enrollment records show Athol Morgan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Medical Center, Inc.
Same address
General Acute Care Hospital
2000 W BALTIMORE ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 41 clinicians in this Medicare group
NPI 1215172234 (410) 362-3000
Sinai Hospital Of Baltimore, Inc.
Same address
General Acute Care Hospital
2000 W BALTIMORE ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
NPI 1528716115 (410) 362-3000
Lifebridge Community Physicians Inc
Same address
Psychiatry
2000 W BALTIMORE ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 317 clinicians in this Medicare group
NPI 1215685441 (410) 362-3000
One Heart LLC
12 mi
Cardiovascular Disease
2764 VARDON LN
Ellicott City, MD 21042
  • Reassigned Medicare billing, Maryland enrollment
NPI 1194930115 (410) 964-2872

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 13

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.
454 services239 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
367 services326 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
207 services166 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
118 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
93 services92 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
79 services79 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21223 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

96.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.58
Promoting Interoperability100
Improvement Activities40
Cost74.33

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%417 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%1,588 patients4/55-star benchmark: 100%
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…
19%749 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 52% · 466 patients
Patients tobacco: 6% · 31 patients
43%465 patients2/55-star benchmark: 98%
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 Athol Morgan's NPI number?

The NPI number for Athol Morgan is 1366453615. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Athol Morgan located?

Athol Morgan practices at 2000 W. Baltimore St Cardiology Dept., Baltimore, MD 21223. The listed phone number is (410) 362-3033.

What is Athol Morgan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Athol Morgan enrolled in Medicare?

Yes. Athol Morgan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Athol Morgan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athol Morgan reassigns Medicare benefits to 4 organizations: Grace Medical Center, Inc. (Baltimore, MD), Sinai Hospital Of Baltimore, Inc. (Baltimore, MD), Lifebridge Community Physicians Inc (Baltimore, MD) and One Heart LLC (Ellicott City, MD). 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 Athol Morgan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Athol Morgan affiliated with any hospitals?

According to CMS data, Athol Morgan is affiliated with Sinai Hospital Of Baltimore and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Athol Morgan was last updated on April 29, 2020. 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.