Bart D. Worthington, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125.063615 Issued in IL

Practice address

2957 Santa Patricia CT
North Pole, AK 99705-6138

Phone

(907) 385-0257

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fireside Family Medicine LLCGroup PAC ID 2668892373, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Merit-based Incentive Payment System (MIPS)

Final score

26.79 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bart.worthington@268832808828932.direct.elationemr.com

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.

• Fireside Family Medicine LLC

  • Family Medicine Physician
  • North Pole, AK
  • NPI 1831702455
  Medicare reassignment Care Compare group NPD Authorized official
• Seward Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seward, AK
  • NPI 1356772024
  Medicare reassignment NPD
• Far North Urgent Care

  • Urgent Care Clinic/Center
  • North Pole, AK
  • NPI 1942157391
  NPD Authorized official

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

• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  Care Compare affiliation

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1205274347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 SANTA PATRICIA CT",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056138",
            "telephone_number": "907-385-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 SANTA PATRICIA CT",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056138",
            "telephone_number": "907-385-0257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Kellum St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014189",
            "country_code": "US",
            "telephone_number": "907-452-1761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 S 3rd St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622201952",
            "country_code": "US",
            "telephone_number": "618-234-2120 x4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "BART",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.063615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712390",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Jean Wesseling, RBT
• Jenny Whitt
• Jennifer Caye Willeford, IBCLC
• Jordan Williams
• Marissa Arielle Winter, LCSW

• Family Medicine Physician in North Pole, AK
• Providers in North Pole, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.