JAMES WORTHEN (MD) – Orthopaedic Surgery Physician, NPI 1922217215

JAMES WORTHEN (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD27170 (AL). The NPI Number for JAMES WORTHEN (MD) is 1922217215

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JAMES WORTHEN (MD)
NPI
1922217215
Phone
Not provided
Address
2700 10TH AVE S STE 200
Enumeration Date
22 May 2007
Last Update Date
29 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
1557414992
Group Practice PAC ID
5294637252
Professional Enrollment ID
I20101008000221
Address ID
AL352051248Bi2700XSXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

112 SPORTS MEDICINE in AL

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Provider Addresses for JAMES WORTHEN (MD)

  • 10th Avenue South, Birmingham, Jefferson County, Alabama, 35205, United States

    BIRMINGHAM, AL 352051248

    Phone:

    Type: Mailing

  • 2030 Lay Dam Rd

    Clanton, AL 350458344

    Phone: (205) 259-3991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($134).

Total Amount

$508

General + Research + Ownership

Payments

8

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2010-10-08

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
I20101008000221ISports MedicineALTBD

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
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg2,78560$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg76816$0
20610Aspiration and/or injection of fluid from large joint242160$0
99212Established patient office or other outpatient visit, 10-19 minutes213148$0
73560X-ray of knee, 1-2 views200141$0
View full utilization report →

Insurance plans in this area (ZIP 35205)

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Provider's Procedures

JAMES WORTHEN (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYAL20610Aspiration and/or injection of large joint or joint capsule385214

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: 5294637252View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
Physician AssistantGA
Orthopedic Surgery, Sports MedicineAL
Physical Therapist In Private PracticeGA
Physician AssistantAL
Sports Medicine, Orthopedic SurgeryAL
-AL
Physician AssistantAL
Physical Therapist In Private PracticeTN
Sports Medicine, Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What is the registry number for JAMES WORTHEN (MD)?
The registry entry for JAMES WORTHEN (MD) shows NPI 1922217215.
Is JAMES WORTHEN (MD) currently accepting referrals based on NPI status?
Registry metadata lists JAMES WORTHEN (MD) as active.
Which specialty label fits JAMES WORTHEN (MD)?
NPPES ties JAMES WORTHEN (MD) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JAMES WORTHEN (MD)?
The directory associates JAMES WORTHEN (MD) with Birmingham, Alabama. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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