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JOHN CARL MORGENSTERN M.D.
NPI 1740386432
Internal Medicine - Gastroenterology in Lewiston, ID

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
415 6TH ST, LEWISTON, ID 83501(208) 743-3998 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2024, Aug 7, 2024, Nov 12, 2019 (3 updates tracked since 2019).

About John Carl Morgenstern M.d. NPPES

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

JOHN CARL MORGENSTERN M.D. (NPI 1740386432) is an individual gastroenterology provider in Lewiston, Idaho, licensed in Idaho (M-11337) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1740386432
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN CARL MORGENSTERNCredential: M.D.
Location Address415 6TH STLewiston, ID 83501
Mailing Address415 6th Street, Attn: Physician ServicesLewiston, ID 83501-2434 · (208) 750-7462 · Fax (208) 750-7467
Phone(208) 743-3998
Sole ProprietorNo
Medical School CMSRutgers School Of Dental MedicineGraduated 1987
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1740386432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in ID · M-11337
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
415 6TH ST, Lewiston, ID 83501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1307 Saint Johns Way Ste 1Lewiston, ID 83501-2435 · Phone (208) 743-3998

Other Identifiers 3

Medicaid1740386432ID
Other000000049730Anthem Insurance
Medicaid64271950KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare, PacificSource Health Plans.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

John Carl Morgenstern 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 ID1456529536
PECOS Enrollment IDI20110714000840, I20120830000729
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 John Morgenstern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Joseph Hospital LLC
Same address
Internal Medicine
415 6TH STREET, PHYSICIAN SERVICES
Lewiston, ID 83501
  • Reassigned Medicare billing, Idaho and Washington enrollments
  • Also billed through NPI 1043744287 (Washington)
  • 164 clinicians in this Medicare group
NPI 1205368404 (208) 750-7462

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 9

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.

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
271 services215 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
215 services214 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
112 services110 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
64 services64 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
62 services62 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Syringa General Hospital

Critical Access Hospitals · Grangeville, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131315
Location607 W Main StreetGrangeville, ID 83530 · Idaho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%1,293 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%167 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
51%400 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
38%400 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%400 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
20%400 patients
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 20

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

KYLE JAMES DALY CRNA
Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
DAVID B SOUVENIR M.D.
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7204
DR. JOHN W. HO MD
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7445
SUSANNE CHOBY MD
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5700
CHRISTOPHER V RICKETTS PA
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5280
MS. DARCI M. GRAVES LMSW
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6500
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DEBORAH SULLIVAN
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6514

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 John Morgenstern's NPI number?

The NPI number for John Morgenstern is 1740386432. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is John Morgenstern located?

John Morgenstern practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 743-3998.

What is John Morgenstern's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Morgenstern enrolled in Medicare?

Yes. John Morgenstern 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 John Morgenstern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Morgenstern reassigns Medicare benefits to St Joseph Hospital LLC (Lewiston, ID). 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 John Morgenstern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Morgenstern accept?

Health plans from Ambetter Health, Molina Healthcare and PacificSource Health Plans list John Morgenstern 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 John Morgenstern affiliated with any hospitals?

According to CMS data, John Morgenstern is affiliated with St Joseph Regional Medical Center and Syringa General Hospital.

When was this NPI record last updated?

The NPPES record for John Morgenstern was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.