DR. JOHN J MORLEY M.D. NPI 1851353387
Internal Medicine - Rheumatology in Savannah, GA
About DR. JOHN J MORLEY M.D.
John Morley is an internist established in Savannah, Georgia and his medical specialization is Internal Medicine with a focus in rheumatology with more than 47 years of experience. The NPI number of John Morley is 1851353387 and was assigned on April 2006. The practitioner's primary taxonomy code is 207RR0500X with license number 022845 (GA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
| NPI | 1851353387 |
| Provider Name | DR. JOHN J MORLEY M.D. |
| Location Address | 5354 REYNOLDS ST SUITE 214 SAVANNAH, GA 31405 |
| Location Phone | (912) 692-0609 |
| Mailing Address | 5354 REYNOLDS ST SUITE 214 SAVANNAH, GA 31405 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1976 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 04-03-2006 |
| Last Update Date | 02-22-2012 |
An internist like Dr. John J Morley M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.John Morley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
John Morley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: advance care plan, clinical data registry reporting, documentation of current medications in the medical record, documentation of signed opioid treatment agreement, e-prescribing, falls: screening for future fall risk, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information, security risk analysis, urinary incontinence: assessment of presence or absence of urinary incontinence in women aged 65 years and older and use of high-risk medications in the elderly.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.09 for a new patient copayment and $24.69 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RR0500X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Rheumatology |
| License No. | 022845 |
| License State | GA |
| Taxonomy Description | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
DR. JOHN J MORLEY M.D.
5354 REYNOLDS ST
SUITE 214
SAVANNAH, GA
ZIP 31405
Phone: (912) 692-0609
Fax: (912) 692-0120
Mailing Address
DR. JOHN J MORLEY M.D.
5354 REYNOLDS ST
SUITE 214
SAVANNAH, GA
ZIP 31405
Phone: (912) 692-0609
Fax: (912) 692-0120
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 4880699784 |
| PECOS Enrollment ID | I20070504000343 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 31405 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $55.19 | $169.73 | $128.37 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.79 | $42.43 | $32.09 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.8 | $138.36 | $98.79 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.2 | $34.59 | $24.69 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 91.2 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 100 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 95.2 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 64% | 390 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. | ||
| Clinical Data Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
| Documentation of Current Medications in the Medical Record | 93% | 2183 |
| Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. | ||
| Documentation of Signed Opioid Treatment Agreement | 0% | 223 |
| All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record. | ||
| e-Prescribing | 100% | 379 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
| Falls: Screening for Future Fall Risk | 46% | 364 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 65% | 892 |
| 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 twelve months of the current encounter. | ||
| Preventive Care and Screening: Influenza Immunization | 55% | 633 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| - Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patients Electronic Access to Their Health Information | 100% | 520 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 39% | 300 |
| Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months. | ||
| Use of High-Risk Medications in the Elderly | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 364 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 169Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
- 97Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- 45Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
- 25Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AM1149877 | OTHER (01) | GA | DEA |
| 022845 | OTHER (01) | GA | GEORGIA MEDICAL LICENSE |
| 00236123D | MEDICAID (05) | GA | |
| D41960 | MEDICARE UPIN (02) | ||
| 11BDNZM | MEDICARE ID-TYPE UNSPECIFIED (04) | GA |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 5 | 1 | 3 | 5 | 3 | 3 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 6 | 5 | 6 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 6 + 5 + 6 + 3 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1851353387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891787636 | CYNTHIA R WARE MD Individual | Internal Medicine | 5354 REYNOLDS ST SUITE 424 SAVANNAH, GA 31405 (912) 819-5999 |
| 1255325148 | DR. EDWARD DANIEL BIGGERSTAFF MD Individual | Obstetrics & Gynecology (Gynecology) | 5354 REYNOLDS ST SUITE 518 SAVANNAH, GA 31405 (912) 355-7717 |
| 1851361240 | DR. LENNON D WYCHE M.D. Individual | Radiology (Diagnostic Radiology) | 5354 REYNOLDS ST STE 102 SAVANNAH, GA 31405 (912) 355-7554 |
| 1801865639 | KAREN LOUISE FEHR-D'ALESSANDRO M.D. Individual | Specialist | 5354 REYNOLDS ST SUITE 222 SAVANNAH, GA 31405 (912) 692-1080 |
| 1639113053 | DONALD J PIERANTOZZI MD Individual | Radiology (Diagnostic Radiology) | 5354 REYNOLDS ST #102 SAVANNAH, GA 31405 (912) 355-3642 |
| 1790889095 | DR. LAWRENCE DUDLEY ODOM MD Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 5354 REYNOLDS ST STE 333 SAVANNAH, GA 31405 (912) 354-8558 |
| 1184725848 | SAVANNAH RHEUMATOLOGY ASSOCIATES, PC Organization | Internal Medicine (Rheumatology) | 5354 REYNOLDS ST SUITE 214 SAVANNAH, GA 31405 (912) 692-0609 |
| 1346331485 | DR. JAMES INGRAM SCOTT M.D. Individual | Surgery | 5354 REYNOLDS ST SUITE 202 SAVANNAH, GA 31405 (912) 355-9437 |
| 1013087287 | DR. PATRICK LEROY BLOHM M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 5354 REYNOLDS ST SUITE 510 SAVANNAH, GA 31405 (912) 352-8588 |
| 1801941125 | DOUGLAS MARIRA, MD, PC Organization | Pediatrics | 5354 REYNOLDS ST SUITE 328 SAVANNAH, GA 31405 (912) 692-1181 |
| 1710028287 | SOUTHERN RETINA LLC Organization | Surgery | 5354 REYNOLDS ST SUITE 317 SAVANNAH, GA 31405 (912) 353-7900 |
| 1720109606 | ANNE BRAWNER NAMNOUM M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 5354 REYNOLDS ST SUITE 510 SAVANNAH, GA 31405 (912) 352-8588 |
| 1821289901 | COASTAL RESPIRATORY ASSOCIATES Organization | Internal Medicine (Pulmonary Disease) | 5354 REYNOLDS ST SUITE 318 SAVANNAH, GA 31405 (912) 352-4111 |
| 1639358179 | ANDREW TUCKER Organization | Obstetrics & Gynecology | 5354 REYNOLDS ST SUITE 315 SAVANNAH, GA 31405 (912) 354-2634 |
| 1265613061 | TANIA N MORGAN, MD, MPH, INC Organization | Specialist | 5354 REYNOLDS ST SUITE 303 SAVANNAH, GA 31405 (912) 352-7902 |
| 1689843641 | KAREN L FEHR DALESSANDROMDPC Organization | Specialist | 5354 REYNOLDS ST SUITE 222 SAVANNAH, GA 31405 (912) 692-1080 |
| 1073765079 | PAULSEN OB GYN Organization | Specialist | 5354 REYNOLDS ST SUITE 304 SAVANNAH, GA 31405 (912) 355-2800 |
| 1912224247 | DOUGLAS MARIRA M.D. Individual | Pediatrics | 5354 REYNOLDS ST SUITE 328 SAVANNAH, GA 31405 (912) 692-1181 |
| 1871886077 | MRS. SALLY NEHER DEAL FNP-C Individual | Nurse Practitioner (Family) | 5354 REYNOLDS ST HEART AND LUNG BLDG SUITE 510 SAVANNAH, GA 31405 (912) 819-8407 |
| 1912280694 | PERINATAL CENTER OF SAVANNAH Organization | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 5354 REYNOLDS ST SUITE 422 SAVANNAH, GA 31405 (912) 721-9499 |
Frequently Asked Questions
What is Dr. John Morley M.D. NPI number?
The NPI number assigned to Dr. John Morley M.D. is 1851353387, registered as an "individual" on April 03, 2006
Where is Dr. John Morley M.D. located?
The provider is located at 5354 Reynolds St Suite 214 Savannah, Ga 31405 and the phone number is (912) 692-0609
Which is Dr. John Morley M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Rheumatology
How many years of experience does Dr. John Morley M.D. have?
The provider has more than 47 years of experience.
What insurance does Dr. John Morley M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
Is Dr. John Morley M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. John Morley M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record, e-Prescribing, Provide Patients Electronic Access to Their Health Information , Use of High-Risk Medications in the Elderly. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Dr. John Morley M.D.?
Medicare beneficiaries should expect a typical cost of $128.37 with an average copayment of $32.09 for new patient appointments. Established patients should expect a typical charge of $98.79 and an average copayment of 24.69. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. John Morley M.D.?
The most common procedures or services performed by this practitioner are: Infusion of chemotherapy into a vein up to 1 hour, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter and Aspiration and/or injection of large joint or joint capsule.
How do I update my NPI information?
The NPI record of Dr. John Morley M.D. was last updated on April 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]