Active NPI
David Ryan Worthen, M.D.
- Family Medicine Physician
- Manteo, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2022-01214
- Practice address
- 604 Amanda St
Manteo, NC 27954-9039 - Phone
- (252) 473-3478
- Fax
- (252) 473-3600
- NPI assigned
- Apr 8, 2015
- Last updated
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2022-01214 | NC | Primary |
Addresses
Primary practice location
604 Amanda St
Manteo, NC 27954-9039
Mailing address
604 Amanda St
Manteo, NC 27954-9039
Phone (252) 473-3478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
604 Amanda St
Manteo, NC 27954-9039
Phone (252) 473-3478
Hospital & facility affiliations
- Adoration Home Health and Hospice
- Albemarle Home Care and Hospice
- The Outer Banks Hospital, Inc
- Sentara Leigh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-01214 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outer Banks Professional Services, LLC | Family Medicine | Current | Accepting new patients |
Locations
604 Amanda St
Manteo, NC 27954
Phone (252) 473-3478
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
Interoperability endpoints
- dworthen380450@direct.ecuhealth.com
Organizations & group practices 1
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.
-
dba Outer Banks Hospital Urgent Care
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health and Hospice
- Home Health Agency
- Nags Head, NC
- NPI 1184296279
-
dba Albemarle Home Care and Hospice
- Home Health Agency
- Elizabeth City, NC
- NPI 1588037980
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1255727004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 AMANDA ST",
"city": "MANTEO",
"state": "NC",
"postal_code": "279549039",
"telephone_number": "252-473-3478",
"fax_number": "252-473-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 AMANDA ST",
"city": "MANTEO",
"state": "NC",
"postal_code": "279549039",
"telephone_number": "252-473-3478",
"fax_number": "252-473-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHEN",
"first_name": "DAVID",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2022-01214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteo, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.