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STEPHEN E. MORGAN M.D.
NPI 1861465676
Family Medicine in Sussex, WI

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES, SUSSEX, WI 53089(262) 820-3093(262) 532-9598 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Stephen E. Morgan M.d. NPPES

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

STEPHEN E. MORGAN M.D. (NPI 1861465676) is an individual family medicine provider in Sussex, Wisconsin, licensed in Wisconsin (42387) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (1999).

NPPES Registry Identity

NPI1861465676
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN E. MORGANCredential: M.D.
Location AddressN57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATESSussex, WI 53089-4383
Mailing AddressN57w24950 N Corporate Cir, Prohealth Care Medical AssociatesSussex, WI 53089-4383 · (262) 820-3093 · Fax (262) 532-9598
Phone(262) 820-3093
Fax(262) 532-9598
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1999
Enumeration DateFebruary 10, 2006
Last NPPES UpdateNovember 15, 2011
✔ NPI 1861465676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 42387
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.
N57W24950 N CORPORATE CIR, Sussex, WI 53089
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Other Identifiers 3

Medicare PIN683750544
Medicaid33347400WI
Medicare UPINH21452WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Stephen E. Morgan 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 ID5294703880
PECOS Enrollment IDI20040921001177
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 7

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.
205 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 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.
41 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services32 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53089 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 4

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
10 suppliers28 claims98 services$4.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims15 services$1.12 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,320 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$21.26 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 11

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

PROHEALTH MEDICAL GROUP INC
Family Medicine
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
CHRISTOPHER MICHAEL PETERS D.O.
Family Medicine
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
JULIE N. LARSEN M.D.
Family Medicine
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
ELIZABETH E BROWNELL M.D.
Family Medicine
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC
SUSSEX, WI 53089
Waukesha County (262) 820-3093
ANN J SHALLUE D.O.
Family Medicine
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
SUSSEX, WI 53089
Waukesha County (262) 820-3093
ARTHUR CRISOSTOMO M.D.
Internal Medicine (Pulmonary Disease)
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
SUSSEX, WI 53089
Waukesha County (262) 820-3093
REBECCA MAE RETTLER APNP
Nurse Practitioner (Family)
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093
KEVIN CIRIACKS M.D.
Dermatology
N57W24950 N CORPORATE CIR
SUSSEX, WI 53089
Waukesha County (262) 820-3093

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 Stephen Morgan's NPI number?

The NPI number for Stephen Morgan is 1861465676. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Stephen Morgan located?

Stephen Morgan practices at N57w24950 N Corporate Cir Prohealth Care Medical Associates, Sussex, WI 53089. The listed phone number is (262) 820-3093.

What is Stephen Morgan's specialty?

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

Is Stephen Morgan enrolled in Medicare?

Yes. Stephen 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 Stephen Morgan accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Stephen 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 Stephen Morgan affiliated with any hospitals?

According to CMS data, Stephen Morgan is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Morgan was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.