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SPENSER JOEL MORTON M.D.
NPI 1376923144
Ophthalmology in South Sioux City, NE

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
76.29/100
CMS Quality Rating
201 E 4TH ST STE 201, SOUTH SIOUX CITY, NE 68776(531) 625-3941(605) 371-7199 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spenser Joel Morton M.d. NPPES

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

SPENSER JOEL MORTON M.D. (NPI 1376923144) is an individual ophthalmology provider in South Sioux City, Nebraska, licensed in Nebraska (33365) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2015).

NPPES Registry Identity

NPI1376923144
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSPENSER JOEL MORTONCredential: M.D.
Location Address201 E 4TH ST STE 201South Sioux City, NE 68776-9916
Mailing Address3101 W 57th StSioux Falls, SD 57108-3162 · (605) 371-7100 · Fax (605) 371-7199
Phone(531) 625-3941
Fax(605) 371-7199
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2015
Enumeration DateJune 5, 2015
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1376923144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NE · 33365
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
201 E 4TH ST STE 201, South Sioux City, NE 68776
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica and more.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

Spenser Joel Morton M.d. 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 ID6507179991
PECOS Enrollment IDI20210305000724
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 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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
776 services410 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
660 services362 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
160 services160 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
86 services66 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
29 services19 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68776 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

76.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.06
Promoting Interoperability100
Improvement Activities40
Cost23.9

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%2,205 patients
Diabetes: Eye Exam
100%34 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%585 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%322 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 422 patients
Patients screened: 99% · 422 patients
79%33 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%346 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 331 patients
Patients totalRate: 0% · 331 patients
0%331 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

KELLY JO SIEPS O.D.
Optometrist
201 E 4TH ST STE 201
SOUTH SIOUX CITY, NE 68776
Dakota County (531) 625-3941

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 Spenser Morton's NPI number?

The NPI number for Spenser Morton is 1376923144. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Spenser Morton located?

Spenser Morton practices at 201 E 4th St Ste 201, South Sioux City, NE 68776. The listed phone number is (531) 625-3941.

What is Spenser Morton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Spenser Morton enrolled in Medicare?

Yes. Spenser Morton 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.

What insurance does Spenser Morton accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and Sanford Health Plan list Spenser Morton 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 Spenser Morton was last updated on May 21, 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.