Active NPI 1114961554 Individual Practitioner Male Practitioner

Dr. Craig B Morgenthal , MD

Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Morgenthal, MD is a certified Surgery practicing in Jacksonville, FL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Morgenthal delivers high-quality medical care to the local community at 836 PRUDENTIAL DR.

Dr. Morgenthal is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

836 Prudential Dr
Suite 1001

Jacksonville, FL 322078334

Telephone 9043980033

Fax 9043986774

Associated Practice Facility / Clinic

🏢 Reproductive Medicine Associates, P.a. Facility NPI 1013991587

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +3.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Morgenthal (26 Years) 26 Yrs

Jacksonville Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$483.00	$163.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	54	$310.00	$121.50
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	32	32	$5663.63	$1796.69
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$210.00	$88.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$315.00	$108.94
47562 Removal of gallbladder using an endoscope	15	15	$2321.00	$558.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$403.00	$128.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	63	$310.00	$116.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$483.00	$163.09
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	31	31	$5580.58	$1706.90
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$210.00	$89.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$315.00	$111.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	72	$310.00	$125.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$483.60	$165.51
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$210.00	$83.59
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	21	21	$5753.52	$1673.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$319.60	$104.75
47562 Removal of gallbladder using an endoscope	12	12	$2417.75	$677.77
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$4396.36	$1050.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	74	$310.00	$121.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$483.67	$161.92
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$210.00	$88.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$209.00	$70.72
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	24	24	$5663.63	$1672.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$403.00	$132.88
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$4173.93	$1174.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$484.18	$162.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	54	$310.00	$106.41
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$210.00	$73.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$406.80	$137.91
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	12	12	$5492.00	$1758.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$483.00	$165.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	55	$310.00	$107.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	16	$210.35	$64.41
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$210.00	$69.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$403.90	$139.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$417.00	$139.87
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	18	18	$4477.78	$1108.61
47562 Removal of gallbladder using an endoscope	15	15	$2475.73	$713.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$315.00	$108.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	41	$310.00	$105.21
99213 Established patient office or other outpatient visit, typically 15 minutes	49	31	$210.00	$72.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$483.00	$160.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$599.00	$206.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$417.00	$143.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$111.88	$39.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$398.18	$137.97
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	15	15	$4231.50	$1121.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$580.08	$204.31
47562 Removal of gallbladder using an endoscope	12	12	$2321.00	$695.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	52	$210.00	$67.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$578.58	$202.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$599.00	$205.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$310.00	$102.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$126.00	$42.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$492.67	$163.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$417.00	$123.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$209.00	$72.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	15	$300.00	$104.59
47562 Removal of gallbladder using an endoscope	16	16	$2466.06	$696.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$392.77	$137.12
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$216.00	$73.86
62223 Creation of brain fluid drainage shunt	12	12	$3862.92	$702.46

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME97599

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

277839400 (FL)

Commercial Insurance / Payer ID Avmed

306906 (FL)

Commercial Insurance / Payer ID Cigna

5850547 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

93691 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00440983

Commercial Insurance / Payer ID Aetna

7657775 (FL)

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

836 Prudential Dr, Jacksonville, FL 322078337

Phone: 9043980033

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. Alexander Rose , MD

Surgery

NPI 1083873335

Doctor of Medicine (M.D.)

Dr. Steven Hodgett , MD

Surgery

NPI 1104015122

Doctor of Medicine (M.D.)

David Currie , PA-C

Physician Assistant

NPI 1164072294

Physician Assistant (Certified)

Dr. David Niemeyer , MD

Surgery

NPI 1235344128

Doctor of Medicine (M.D.)

Dr. Gordon Polley , MD

Surgery

NPI 1265490056

Doctor of Medicine (M.D.)

Kasey Colborne , PA-C

Physician Assistant

NPI 1316489859

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2015

Registered at 836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 322078334 (Tel: 9043980033)

📍

Updated Business Mailing Address July 28, 2015

Registered at 11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 322231627 (Tel: 9043961725)

👤

Provider Name / Credentials Updated July 28, 2015

Recorded as CRAIG MORGENTHAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Surgery (License #ME97599 in FL)

🟢

Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114961554

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2006

Last Update: July 28, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11945 San Jose Blvd, Bldg 300

Jacksonville, FL 322231627

Phone: 9043961725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.