MR. DAVID C WOODWORTH (PAC) – Physician Assistant, NPI 1043269459

MR. DAVID C WOODWORTH (PAC) is a healthcare provider. based in Rocky hill, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 001232 (CT). The NPI Number for MR. DAVID C WOODWORTH (PAC) is 1043269459

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID C WOODWORTH (PAC)
NPI
1043269459
Phone
(860) 525-4469
Address
1111 Cromwell Ave Ste 404
Enumeration Date
10 May 2006
Last Update Date
15 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607776977
Graduation Year
2002 (24 years ago)
PAC ID
6103726419
Group Practice PAC ID
7618242777
Professional Enrollment ID
I20040112000458
Address ID
CT060014357AV385XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MR. DAVID C WOODWORTH (PAC)

  • 1111 Cromwell Ave Ste 404

    Rocky Hill, CT 060673449

    Phone: (860) 525-4469

    Type: Location

  • 302, Cromwell Avenue, Rocky Hill, Hartford County, Connecticut, 06067, United States

    ROCKY HILL, CT 060673455

    Phone: (605) 254-4469

    Fax: (860) 278-8032

    Type: Mailing

  • 277, Middle Turnpike West, Parkade Shopping Center, Manchester, Capitol Planning Region, Connecticut, 06040, United States

    MANCHESTER, CT 06040

    Phone: (860) 432-4640

    Fax: (860) 432-4759

    Type: Location

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: 2004-01-12

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
I20040112000458IPhysician AssistantCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes189166$0
99203New patient office or other outpatient visit, 30-44 minutes6565$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)4745$0
99202New patient office or other outpatient visit, 15-29 minutes4343$0
81003Automated urinalysis test3838$0
View full utilization report →

Insurance plans in this area (ZIP 06067)

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Provider's Procedures

MR. DAVID C WOODWORTH (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT20610Aspiration and/or injection of large joint or joint capsule405250

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: 7618242777View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
Nurse PractitionerCT
-CT
Nurse PractitionerMA
Emergency MedicineCT
Nurse PractitionerRI
Nurse PractitionerNY
Nurse PractitionerCT

Reviews

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Frequently asked questions

What number should I use to identify MR. DAVID C WOODWORTH (PAC) for billing?
Administrative and clinical systems typically use NPI 1043269459 for MR. DAVID C WOODWORTH (PAC).
Does the public listing show MR. DAVID C WOODWORTH (PAC) as active?
MR. DAVID C WOODWORTH (PAC)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. DAVID C WOODWORTH (PAC)?
NPPES ties MR. DAVID C WOODWORTH (PAC) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. DAVID C WOODWORTH (PAC)?
The directory associates MR. DAVID C WOODWORTH (PAC) with Rocky Hill, Connecticut. 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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