DAVID E WORNER (M.D.) – Family Medicine Physician, NPI 1114091329

DAVID E WORNER (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. K7231 (TX). The NPI Number for DAVID E WORNER (M.D.) is 1114091329

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DAVID E WORNER (M.D.)
NPI
1114091329
Phone
(817) 625-4254
Address
2106 N MAIN ST
Enumeration Date
20 November 2006
Last Update Date
5 June 2012

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8062724524
Graduation Year
1996 (30 years ago)
PAC ID
7113066291
Group Practice PAC ID
8820906167
Professional Enrollment ID
I20091202000630
Address ID
TX793473627MU708XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DAVID E WORNER (M.D.)

  • 2106, North Main Street, Fort Worth Stockyards National Historic District, Fort Worth, Tarrant County, Texas, 76164, United States

    FORT WORTH, TX 761648511

    Phone: (817) 625-4254

    Fax: (817) 625-8451

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mylan Specialty L.P. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mylan Specialty L.P.$27
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: 2009-12-02

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
I20091202000630IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76164)

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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: 8820906167View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family Practice, Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID E WORNER (M.D.)?
DAVID E WORNER (M.D.) — NPI 1114091329 — is the standard way to identify this listing.
Does CMS list DAVID E WORNER (M.D.) as active?
Yes — DAVID E WORNER (M.D.) is active in the NPI listing used on this page.
What healthcare role does DAVID E WORNER (M.D.) hold?
Scheduling teams often label DAVID E WORNER (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID E WORNER (M.D.)?
DAVID E WORNER (M.D.)'s geographic hint is Fort Worth, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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