Worthington S. Keville III, P.A-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2528 Issued in FL

Practice address

787 37TH St Ste E2200
Vero Beach, FL 32960-7305

Phone

(772) 978-7808

Fax

(772) 978-9320

NPI assigned

Jul 2, 2006

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ronald K Robinson MD LLCGroup PAC ID 0042695991, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score

87.6 of 100Reported as group

Quality

81.72

Promoting interoperability

90

Improvement activities

40

Cost

85.29

Merit-based Incentive Payment System (MIPS)

Final score

81 of 100Reported as group

Quality

76.78

Promoting interoperability

86

Improvement activities

40

Cost

71.56

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: worthington.keville.2@12907.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: worthington.keville.3@12907.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald K Robinson MD LLC

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1417692591
  Medicare reassignment Care Compare group
• Marcus Malone, M.D., LLC

  • Physical Medicine & Rehabilitation Physician
  • Vero Beach, FL
  • NPI 1306358320
  Medicare reassignment
• Vero Orthopaedics II PA

  • Orthopaedic Surgery Physician
  • Sebastian, FL
  • NPI 1134441660
  NPD (past)
• Vero Orthopaedics II PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Vero Beach, FL
  • NPI 1184626079
  NPD (past)

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

• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1881623536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E2200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E2200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVILLE",
        "first_name": "WORTHINGTON",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970025675",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alana M Keough Humberson, DMD
• Cynthia Kepfer, APRN, PMHNP-BC
• Stephen R Kepley, O.D.
• Heather Kerr, ARNP
• John M. Kestranek, DDS
• Majid Rafik Khalaf, MD
• Nit Khamvongs, CRNA
• Sobia Javed Khawaja, M.D.
• Kassra - Michael Khazalpour, M.D.
• Julieta Ching Kho, PT, AP, DOM

• Surgical Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.