BART D. WORTHINGTON (D.O.) – Family Medicine Physician, NPI 1205274347
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for BART D. WORTHINGTON (D.O.)
1405 Kellum St Ste 201
Fairbanks, AK 997014189
Phone: (907) 452-1761
Type: Location
180 S 3rd St Ste 400
Belleville, IL 622201952
Phone: (618) 234-2120
Type: Location
2 WILSHIRE DR
FAIRVIEW HEIGHTS, IL 622081644
Phone: (660) 234-5183
Type: Mailing
180 S 3RD ST STE 400
BELLEVILLE, IL 622201952
Phone: (618) 234-2120
Type: Location
2957 SANTA PATRICIA CT
NORTH POLE, AK 997056138
Phone: (907) 385-0257
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $471.
Total Amount is formed as General ($471) + Research ($0) + Ownership ($0) = $471.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($258).
Total Amount
$471
General + Research + Ownership
Payments
18
Total payment records
General Amount
$471
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $258 |
| ABBVIE INC. | $177 |
| Echosens North America, Inc. | $18 |
| Lilly USA, LLC | $17 |
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: 2020-09-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200929002996 | I | Family Practice | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 300 | 152 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 269 | 148 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 159 | 24 | $0 |
| 83036 | Hemoglobin a1c level | 94 | 70 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 53 | 53 | $0 |
Insurance plans in this area (ZIP 99701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK | |
| Family Practice, Internal Medicine | MA | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | AK | |
| Family Practice, Osteopathic Manipulative Medicine | ME | |
| Family Practice | AK | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | WI |
Reviews
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