Active NPI
Jeffery Scott Morrill, D.O.
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101014880
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- Jun 22, 2006
- Last updated
- Nov 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 03980 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | OS13470 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 5101014880 | MI | Primary |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447296777 | Medicaid | MI | |
| 015298600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Michigan State University College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272
1009 W Green St
Hastings, MI 49058-1710
Phone (616) 363-7272
300 E Warwick Dr
Alma, MI 48801-1014
Phone (616) 363-7272
Hospital & facility affiliations
- Mymichigan Medical Center Alma
- Corewell Health Pennock Hospital
- Mymichigan Medical Center Clare
- Mymichigan Medical Center Midland
- Mackinac Straits Hospital and Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03980 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Largo Radiology Consultants | Past | Accepting new patients | |
| South Bay Hospital Outpatient Diagnostic/Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Consultants of Iowa, PLC | Diagnostic Radiology | Past | Accepting new patients |
| Central Florida Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1740283324
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology, MI
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1912246455
-
- Radiology Clinic/Center
- Largo, FL
- NPI 1407131055
-
- Diagnostic Radiology Physician
- Cedar Rapids, IA
- NPI 1750387999
-
- Diagnostic Radiology Physician
- Sun City Center, FL
- NPI 1558528513
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mackinac Straits Hospital and Health Center
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
-
dba Rivertown Medical Clinic
- Rural Health Clinic/Center
- Cheboygan, MI
- NPI 1659868206
Hospital
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1447296777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRILL",
"first_name": "JEFFERY",
"middle_name": "SCOTT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "03980",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS13470",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101014880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447296777",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015298600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.