DR. IVAN DAVID MORRIN (MD) – Family Medicine Physician, NPI 1104825934

DR. IVAN DAVID MORRIN (MD) is a healthcare provider. based in Georgetown, Kentucky. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 39654 (KY). The NPI Number for DR. IVAN DAVID MORRIN (MD) is 1104825934

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVAN DAVID MORRIN (MD)
NPI
1104825934
Phone
(502) 868-0622
Address
210 BEVINS LN
Enumeration Date
14 July 2005
Last Update Date
4 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5028680622
Graduation Year
2002 (24 years ago)
PAC ID
3971594300
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20040524000241
Address ID
KY403246127GE210XXCXXX400

Contacts

Secure Messaging
imorrin4773@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,718 FAMILY PRACTICE in KY

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Provider Addresses for DR. IVAN DAVID MORRIN (MD)

  • 210, Bevins Lane, Georgetown, Scott County, Kentucky, 40324, United States

    STE C

    GEORGETOWN, KY 403246120

    Phone: (502) 868-0622

    Fax: (502) 868-9097

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 180 Open Payments records for all available years, with a total value of $3,015.

Total Amount is formed as General ($3,015) + Research ($0) + Ownership ($0) = $3,015.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($486).

Total Amount

$3,015

General + Research + Ownership

Payments

180

Total payment records

General Amount

$3,015

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050729000259IFamily PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82044Urine microalbumin (protein) analysis4343$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1716$0
81003Automated urinalysis test1414$0
View full utilization report →

Insurance plans in this area (ZIP 40324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. IVAN DAVID MORRIN (MD)'s NPI?
Yes. DR. IVAN DAVID MORRIN (MD) is listed with NPI 1104825934 in the public NPI dataset.
Is DR. IVAN DAVID MORRIN (MD) listed as active for patients and plans?
The listing shows DR. IVAN DAVID MORRIN (MD) as active in the NPI system.
What is DR. IVAN DAVID MORRIN (MD)'s specialty?
The listing groups DR. IVAN DAVID MORRIN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. IVAN DAVID MORRIN (MD) list a practice location?
Patients near Georgetown, Kentucky may find DR. IVAN DAVID MORRIN (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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