JACOB WORSHAM (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1457617995
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 SPORTS MEDICINE in TX
Provider Addresses for JACOB WORSHAM (M.D.)
6400 FANNIN ST STE 1700
HOUSTON, TX 770301526
Phone: (713) 486-7500
Fax: (713) 512-7240
Type: Mailing
2488 E 81ST ST STE 290
TULSA, OK 741374299
Phone: (918) 494-2665
Fax: (918) 927-3201
Type: Location
314 E 5th Ave Ste 103
Owasso, OK 740553484
Phone: (918) 494-2665
Fax: (918) 927-3201
Type: Location
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 $2,221.
Total Amount is formed as General ($2,221) + Research ($0) + Ownership ($0) = $2,221.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: EXACTECH, INC. ($1,259).
Total Amount
$2,221
General + Research + Ownership
Payments
18
Total payment records
General Amount
$2,221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EXACTECH, INC. | $1,259 |
| Anika Therapeutics, Inc. | $288 |
| Stryker Corporation | $284 |
| Smith+Nephew, Inc. | $184 |
| Pylant Medical | $93 |
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: 2023-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180904001793 | I | Orthopedic Surgery | TX | TBD |
| I20230912002928 | I | Orthopedic Surgery | OK | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 324 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 77 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 68 | 50 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 42 | 37 | $0 |
Insurance plans in this area (ZIP 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| - | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Physical Therapist In Private Practice | OK | |
| - | OK | |
| - | TN | |
| Physical Therapist In Private Practice | OK |
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