HOWARD M. WORTHEN (M.D.) – Pediatric Anesthesiology Physician, NPI 1174554026

HOWARD M. WORTHEN (M.D.) is a healthcare provider. based in San diego, California. specializing in Pediatric Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. G47955 (CA). The NPI Number for HOWARD M. WORTHEN (M.D.) is 1174554026

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
HOWARD M. WORTHEN (M.D.)
NPI
1174554026
Phone
(858) 565-9666
Address
3626 RUFFIN RD
Enumeration Date
6 July 2006
Last Update Date
23 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195659666
Graduation Year
1979 (47 years ago)
PAC ID
2264502731
Group Practice PAC ID
1153223219
Professional Enrollment ID
I20080610000621
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for HOWARD M. WORTHEN (M.D.)

  • 3626, Ruffin Road, San Diego, San Diego County, California, 92123, United States

    SAN DIEGO, CA 921231810

    Phone: (858) 565-9666

    Fax: (858) 565-9441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-06-10

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
I20080610000621IAnesthesiologyCATBD

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
00104Anesthesia for electroshock therapy3021$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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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: 1153223219View full group profile

Reviews

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Frequently asked questions

What identifier follows HOWARD M. WORTHEN (M.D.) across health systems?
The NPI 1174554026 uniquely identifies HOWARD M. WORTHEN (M.D.) in U.S. healthcare data.
Is HOWARD M. WORTHEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists HOWARD M. WORTHEN (M.D.) as active.
What services align with HOWARD M. WORTHEN (M.D.)'s listing?
HOWARD M. WORTHEN (M.D.)'s public classification highlights Pediatric Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit HOWARD M. WORTHEN (M.D.) in San Diego, California?
For routing, start with San Diego, California for HOWARD M. WORTHEN (M.D.), then verify phone and hours locally.
Can I export HOWARD M. WORTHEN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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