Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID WILSON WORMUTH M.D., M.P.H.
NPI 1053371344
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Syracuse, NY

Active since March 23, 2006PECOS Enrolled
90.17/100
CMS Quality Rating
104 UNION AVE STE 1001, SYRACUSE, NY 13203(315) 475-8409(315) 475-6026 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2020, Sep 18, 2020 (2 updates tracked since 2020).

About David Wilson Wormuth M.d., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID WILSON WORMUTH M.D., M.P.H. (NPI 1053371344) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Syracuse, New York, licensed in New York (218591) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1053371344
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDAVID WILSON WORMUTHCredential: M.D., M.P.H.
Location Address104 UNION AVE STE 1001Syracuse, NY 13203-1846
Mailing Address104 Union Ave Ste 1001Syracuse, NY 13203-1846 · (315) 475-8409 · Fax (315) 475-6026
Fax(315) 475-6026
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1053371344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NY · 218591
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
104 UNION AVE STE 1001, Syracuse, NY 13203

Other Identifiers 2

Medicaid02091129NY
OtherP00446825NY · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Wilson Wormuth M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365523891
PECOS Enrollment IDI20080122000645
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Wormuth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 369 clinicians in this Medicare group
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
25 services25 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
25 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.19
Promoting Interoperability99
Improvement Activities40
Cost83.48

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wormuth's NPI number?

The NPI number for David Wormuth is 1053371344. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is David Wormuth located?

David Wormuth practices at 104 Union Ave Ste 1001, Syracuse, NY 13203. The listed phone number is (315) 475-8409.

What is David Wormuth's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Wormuth enrolled in Medicare?

Yes. David Wormuth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Wormuth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wormuth reassigns Medicare benefits to 2 organizations: St Josephs Hospital Health Center (Syracuse, NY) and St Josephs Medical PC (Liverpool, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Wormuth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Wormuth affiliated with any hospitals?

According to CMS data, David Wormuth is affiliated with St Joseph's Hospital Health Center, Crouse Hospital and Oswego Hospital.

When was this NPI record last updated?

The NPPES record for David Wormuth was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.