Physician

John Carl Morgenstern, M.D.

According to 2025 Medicare claims, John Morgenstern, M.D. (NPI: 1740386432) practices gastroenterology in the Lewiston, ID-WA market, with the plurality of this provider's patient population coming from Nez Perce, ID. This provider's primary affiliated billing organization is ST JOSEPH HOSPITAL LLC (NPI: 1205368404; TIN: 36-4851166) and primary practice location at 83501-2431. Morgenstern is affiliated with the Kootenai Accountable Care, LLC (ACO ID: A3621) and AdvantagePoint Health Alliance - Northwest, LLC (ACO ID: A5025), participating under the MSSP model.

Morgenstern's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 710 traditional Medicare patients, billed 915 HCPCS/CPT codes, and received $111,120 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 642 prescription claims across 509 beneficiaries totaling $11,091 in drug costs, led by Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl). Open Payments data shows 1 records totaling $15. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $210,288 to $11,091. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	773	1,723	$168,369
2016	706	1,279	$124,205
2017	638	1,216	$121,908
2018	740	1,358	$133,572
2019	927	2,003	$144,356
2020	638	844	$104,267
2021	729	1,068	$119,507
2022	764	1,035	$119,181
2023	743	949	$122,154
2024	710	915	$111,120

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	171	660	$210,288
2016	270	581	$109,410
2017	357	663	$128,288
2018	413	684	$175,547
2019	399	607	$87,816
2020	373	517	$67,539
2021	395	473	$32,616
2022	470	524	$11,263
2023	526	605	$38,733
2024	509	642	$11,091

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	214	215	$183
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	62	62	$164
43248	Insertion of guide wire with dilation of esophagus using a flexible endoscope	215	271	$100
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	110	112	$74
43235	Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	64	64	$64

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Peg-3350 And Electrolytes	Peg3350/Sod Sulf,bicarb,cl/Kcl	262	453	$4,032
Gavilyte-G	Peg3350/Sod Sulf,bicarb,cl/Kcl	156	247	$2,438
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	17	27	$1,145
Gavilyte-C	Peg3350/Sod Sulf,bicarb,cl/Kcl	40	128	$783
Omeprazole	Omeprazole	130	4,547	$567

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$15	Braintree Laboratories, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for John Carl Morgenstern, M.D.?

Tedicare shows public-source Medicare data for John Carl Morgenstern, M.D. (NPI 1740386432), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does John Carl Morgenstern, M.D. have ACO affiliation data?

John Carl Morgenstern, M.D. is shown with ACO affiliation data for Kootenai Accountable Care, LLC (MSSP, ACO ID A3621) and AdvantagePoint Health Alliance - Northwest, LLC (MSSP, ACO ID A5025).

What billing organization is linked to John Carl Morgenstern, M.D.?

John Carl Morgenstern, M.D. is linked to ST JOSEPH HOSPITAL LLC (billing NPI 1205368404) in the available physician profile data.

Does John Carl Morgenstern, M.D. have Open Payments data?

John Carl Morgenstern, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.