NPIMap

Individual provider Active NPI

Tucker Worthen, D.P.M

  • Podiatrist
  • Fort Collins, CO
National Provider Identifier
1073879821
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD.0000771 Issued in CO
Practice address
1927 Wilmington Dr Unit 102
Fort Collins, CO 80528-6103
Phone
(970) 416-9009
NPI assigned
Apr 5, 2012
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD.0000771 CO Primary

Addresses

Primary practice location

1927 Wilmington Dr Unit 102
Fort Collins, CO 80528-6103

Mailing address

1927 Wilmington Dr Unit 102
Fort Collins, CO 80528-6103
Phone (970) 416-9009

Other practice location 1

1220 W Ash St Unit A
Windsor, CO 80550-4611
Phone (970) 416-9009

Other identifiers 1

IdentifierTypeStateIssuer
29770050MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126002064 CO Practitioner - Podiatry 1153641071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Save Your Sole Foot and Ankle Specialists PCGroup PAC ID 8123910288, 3 clinicians

Practice addresses (Care Compare)

1927 Wilmington Dr
Unit 102
Fort Collins, CO 80528-6103
Phone (970) 416-9009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue130
Removal of skin lesions1-10
Removal of nail tissue234
Removal or shaving of skin growth138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Save Your Sole Foot and Ankle Specialists PC Podiatrist CurrentSince Nov 12, 2015 Accepting new patients
Save Your Sole Foot and Ankle Specialists PC Podiatrist CurrentSince Jun 22, 2021 Accepting new patients

Locations

1927 Wilmington Dr
Unit 102
Fort Collins, CO 80528
Phone (970) 416-9009

1220 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 416-9009

Organizations & group practices 2

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1073879821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286103",
            "telephone_number": "970-416-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286103",
            "telephone_number": "970-416-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 W Ash St Unit A",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805504611",
            "country_code": "US",
            "telephone_number": "970-416-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "TUCKER",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29770050",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.