Individual provider Active NPI

Michael Alan Morris, MD

  • Ophthalmology Physician
  • Marion, IL
National Provider Identifier
1417119488
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036148140 Issued in IL
Practice address
8341 Express Dr Ste C
Marion, IL 62959-6476
Phone
(812) 424-2020
Fax
(812) 424-3000
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MO2011000699 MO
Ophthalmology Physician 207W00000X 036148140 IL Primary

Addresses

Primary practice location

8341 Express Dr Ste C
Marion, IL 62959-6476

Mailing address

6149 E Columbia St
Evansville, IN 47715-9134
Phone (812) 424-2020

Other identifiers 1

IdentifierTypeStateIssuer
036148140MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110701000276 MO Practitioner - Ophthalmology 9931387479 Reassigns benefits to 1 organization
I20190515001721 IL Practitioner - Ophthalmology 9931387479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Southern Illinois University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talley Medical-Surgical Eye Care Associates PCGroup PAC ID 3779551122, 10 clinicians

Practice addresses (Care Compare)

101 E Delaware St
Suite C
Fairfield, IL 62837-2171
Phone (812) 424-2020

8341 Express Dr
Suite C
Marion, IL 62959-6476
Phone (812) 424-2020

960 S Commercial St
Harrisburg, IL 62946-2637
Phone (812) 424-2020

Hospital & facility affiliations

  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184

Merit-based Incentive Payment System (MIPS)

Final score
83.76 of 100Reported as group
Quality
76.09
Improvement activities
40
Cost
77.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036148140ILMDOphthalmology Physician
MO2011000699MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Talley Medical-Surgical Eye Care Associates PC Ophthalmology CurrentSince Jun 17, 2019 Accepting new patients
Precision Eye Care, Inc. Ophthalmology CurrentSince Jul 25, 2011 Accepting new patients
Paul B Stauder PastSince Oct 27, 2024 Accepting new patients
Clint T Taylor OD LLC Past Accepting new patients

Locations

1684 Falcon Ave
Carmi, IL 62821
Phone (618) 382-4683

101 E Delaware St
Ste C
Fairfield, IL 62837
Phone (618) 842-6516

960 S Commercial St
Harrisburg, IL 62946
Phone (618) 253-7057

8341 Express Dr
Ste C
Marion, IL 62959
Phone (618) 997-2354

6149 E Columbia St
Evansville, IN 47715

140 Westmount Dr
Farmington, MO 63640
Phone (573) 756-2020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1417119488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159134",
            "telephone_number": "812-424-2020",
            "fax_number": "812-424-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 EXPRESS DR STE C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596476",
            "telephone_number": "812-424-2020",
            "fax_number": "812-424-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "MO2011000699",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036148140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036148140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.