MORGAN A PAUL M.D.
NPI 1457419582
Family Medicine in Seaman, OH

Q: What is Morgan Paul's NPI number?

The NPI number for Morgan Paul is 1457419582. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Morgan Paul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Morgan Paul was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment

17862 STATE ROUTE 247, SEAMAN, OH 45679(937) 695-0748(937) 386-0100 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2024, Jul 29, 2024, Nov 9, 2020 (3 updates tracked since 2020).

On this page

About Morgan A Paul M.d. NPPES

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

MORGAN A PAUL M.D. (NPI 1457419582) is an individual family medicine provider in Seaman, Ohio, licensed in Ohio (35.083922) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - West Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457419582

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMORGAN A PAULCredential: M.D.

Location Address17862 STATE ROUTE 247Seaman, OH 45679-9646

Mailing Address17862 State Route 247Seaman, OH 45679-9646 · (937) 695-0748 · Fax (937) 386-0100

Phone(937) 695-0748

Fax(937) 386-0100

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2002

Enumeration DateDecember 4, 2006

Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1457419582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35.083922✔ Licensed in NY · 287241✔ Licensed in OH · OH35083922P

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

17862 STATE ROUTE 247, Seaman, OH 45679

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Secondary Practice Locations 2

Location 1280 Pattonsville RdJackson, OH 45640-9452 · Phone (740) 395-8805 · Fax (740) 395-8855

Location 26890 County Route 113Bath, NY 14810-7829 · Phone (607) 776-3063

Other Identifiers 10

Other10024031WV · Bwc

Other000000652258OH · Anthem Bc/bs

Other1157198Carelink

Medicaid2577091OH

Other31091708523OH · Caresource Medicaid

Other2577091OH · Molina Medicaid

Medicaid3810014397WV

Other8911742OH · Cigna

OtherPA4286721OH · Medicare Ptan

Other297011OH · Unison Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Morgan A Paul 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 ID2961438734

PECOS Enrollment IDI20050713000166

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

Medicare enrollment records show Morgan Paul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Cincinnati, LLC

50 mi

Family Medicine

4600 MCAULEY PL STE 600
Blue Ash, OH 45242

Reassigned Medicare billing, Ohio enrollment
204 clinicians in this Medicare group

NPI 1205887023 (513) 952-5210

Finger Lakes Community Health

403 mi

Federally Qualified Health Center (FQHC)

6890 COUNTY ROUTE 113
Bath, NY 14810

Reassigned Medicare billing, New York enrollment
40 clinicians in this Medicare group

NPI 1457689119 (607) 776-3063

The Frederick Ferris Thompson Hospital

424 mi

General Acute Care Hospital

350 PARRISH ST
Canandaigua, NY 14424

Reassigned Medicare billing, New York enrollment
347 clinicians in this Medicare group

NPI 1194776351 (585) 396-6000

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 3

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.

32 services30 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.

14 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360236

Location3000 Hospital DriveBatavia, OH 45103 · Clermont County

Emergency services

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number361326

Location230 Medical Center DriveSeaman, OH 45679 · Adams County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45679 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers39 claims83 services$5.86 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers16 claims19 services$0.94 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier16 claims16 services$8.18 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$21.25 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers66 claims66 services$116.90 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 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 3

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

SARAH M MASON CNP

Nurse Practitioner (Family)

17862 STATE ROUTE 247
SEAMAN, OH 45679

Adams County (937) 695-0748

DR. TYLER J CAMPBELL MD

Family Medicine

17862 STATE ROUTE 247
SEAMAN, OH 45679

Adams County (937) 695-0748

ADAMS COUNTY HOSPITAL

Clinic/Center (Health Service)

17862 STATE ROUTE 247, POB 387
SEAMAN, OH 45679

Adams County (937) 386-3400

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 Morgan Paul's NPI number?

The NPI number for Morgan Paul is 1457419582. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Morgan Paul located?

Morgan Paul practices at 17862 State Route 247, Seaman, OH 45679. The listed phone number is (937) 695-0748.

What is Morgan Paul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Morgan Paul enrolled in Medicare?

Yes. Morgan Paul 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 Morgan Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Morgan Paul reassigns Medicare benefits to 3 organizations: Mercy Health Physicians Cincinnati, LLC (Blue Ash, OH), Finger Lakes Community Health (Bath, NY) and The Frederick Ferris Thompson Hospital (Canandaigua, NY). 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 Morgan Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Morgan Paul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Morgan Paul 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 Morgan Paul affiliated with any hospitals?

According to CMS data, Morgan Paul is affiliated with Mercy Health - West Hospital, Mercy Health - Clermont Hospital and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Morgan Paul was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.