1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Internal Medicine
  6. NPI Profile

DR. JAMES S MORGAN
NPI 1619130390
Internal Medicine - Hematology & Oncology in Louisville, KY

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4003 KRESGE WAY, STE 500, LOUISVILLE, KY 40207(502) 897-1166(502) 897-1461 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2020, Jan 18, 2016 (2 updates tracked since 2016).

About Dr. James S Morgan NPPES

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

DR. JAMES S MORGAN (NPI 1619130390) is an individual hematology & oncology provider in Louisville, Kentucky, licensed in Kentucky (42735) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1619130390
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JAMES S MORGAN
Location Address4003 KRESGE WAY, STE 500Louisville, KY 40207-4652
Mailing Address2700 Stanley Gault Pkwy, Ste 129Louisville, KY 40223-5176 · (502) 253-4917 · Fax (502) 489-5751
Phone(502) 897-1166
Fax(502) 897-1461
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003
Enumeration DateJuly 3, 2008
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1619130390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 42735
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4003 KRESGE WAY, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100078910KY

Accepted Insurance

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

Dr. James S 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 ID5799837662
PECOS Enrollment IDI20090723000722
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 10

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.
671 services295 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.
191 services165 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services82 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.
83 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services60 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims1,160 services$0.57 avg. paid by Medicare
Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier12 claims768 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier21 claims21 services$18.10 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 20

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

DR. SALEM MICHAEL GEORGE JR. MD
Surgery (Vascular Surgery)
4003 KRESGE WAY, SUITE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
DR. MARK EDWIN ESTERLE M.D.
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY, SUITE 312
LOUISVILLE, KY 40207
Jefferson County (502) 899-7377
CORTLANDT AUSER NORRIS APRN, FNP-C
Nurse Practitioner (Family)
4003 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
MR. STANLEY S. CHMIEL M.D.
Otolaryngology
4003 KRESGE WAY, STE 227
LOUISVILLE, KY 40207
Jefferson County (502) 893-3342
MRS. TRACEY GREGORY MAYNOR PAC
Physician Assistant
4003 KRESGE WAY, #221
LOUISVILLE, KY 40207
Jefferson County (502) 897-7107
CAROLE C. SCHARF M.D.
Radiology (Radiation Oncology)
4003 KRESGE WAY, SUITE 115
LOUISVILLE, KY 40207
Jefferson County (502) 897-8163
ADRIAN J PELLEGRINI M.D.
Psychiatry & Neurology (Psychiatry)
4003 KRESGE WAY, STE 224
LOUISVILLE, KY 40207
Jefferson County (502) 899-9980
ANNA LAURA TRIMBUR ARNP
Nurse Practitioner (Family)
4003 KRESGE WAY, STE 312
LOUISVILLE, KY 40207
Jefferson County (502) 899-7377

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 James Morgan's NPI number?

The NPI number for James Morgan is 1619130390. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is James Morgan located?

James Morgan practices at 4003 Kresge Way Ste 500, Louisville, KY 40207. The listed phone number is (502) 897-1166.

What is James Morgan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is James Morgan enrolled in Medicare?

Yes. James 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.

What insurance does James Morgan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list James 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 James Morgan affiliated with any hospitals?

According to CMS data, James Morgan is affiliated with Baptist Health Hardin, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for James Morgan was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.