DOUGLAS K WORTHINGTON (AUD) – Audiologist, NPI 1467460246
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
105 QUALIFIED AUDIOLOGIST in UT
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Provider Addresses for DOUGLAS K WORTHINGTON (AUD)
1055, North 300 West, North Park, Provo, Utah County, Utah, 84604, United States
Suite 401
Provo, UT 846043344
Phone: (801) 357-7499
Fax: (801) 373-5980
Type: Location
395 W COUGAR BLVD STE 501
PROVO, UT 846043323
Phone: (801) 357-4945
Fax: (801) 357-7527
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
1055, North 300 West, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States
SUITE 401
PROVO, UT 846043344
Phone: (801) 357-7499
Fax: (801) 373-5980
Type: Mailing
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: 2012-05-23
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 |
|---|---|---|---|---|
| I20120523000636 | I | Qualified Audiologist | UT | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 133 | 121 | $0 |
| 92567 | Test to assess middle ear function | 126 | 115 | $0 |
| 92547 | Use of electrodes during balance testing | 23 | 23 | $0 |
| 92540 | Evaluation and testing for balance with recording | 23 | 23 | $0 |
| 92546 | Test for abnormal eye movement using a rotating chair | 16 | 16 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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