Individual provider Active NPI

Morgan Lane Collom, D.O.

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1619310596
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO.1994 Issued in AL
Practice address
625 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 934-4903
Fax
(205) 975-7294
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO.1994 AL Primary

Addresses

Primary practice location

625 19TH St S
Birmingham, AL 35233-1900

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-4903

Other practice location 1

900 8th Ave
Fort Worth, TX 76104-3902
Phone (817) 877-5292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190906000137 TX Practitioner - General Surgery 1456686054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians
Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

101 Rim Rd
Suite 300B
El Paso, TX 79902-3667
Phone (915) 263-7080

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4001 W 15TH St
340 (Medical City Trauma Specialists)
Plano, TX 75093-5841
Phone (972) 202-7080

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
63.38
Promoting interoperability
99
Improvement activities
40
Cost
76.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Trauma Medical Group, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Surgery Associates of NTX, PLLC Surgery CurrentSince Jan 22, 2024 Accepting new patients
Surgery Associates of North Texas P a Surgery Current Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

100 E Alton Gloor Blvd
Ste 210
Brownsville, TX 78526
Phone (956) 350-7105

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080

10201 Gateway Blvd W
Ste 130
El Paso, TX 79925
Phone (915) 594-1000

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4001 W 15th St
Ste 340
Plano, TX 75093
Phone (972) 202-7080

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

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 3

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1619310596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-4903",
            "fax_number": "205-975-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-4903",
            "fax_number": "205-975-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043902",
            "country_code": "US",
            "telephone_number": "817-877-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLOM",
        "first_name": "MORGAN",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "DO.1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.