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SETH PARKER WORTHING PA-C
NPI 1053897652
Orthopaedic Surgery in Indiana, PA

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
835 HOSPITAL RD, INDIANA, PA 15701(724) 357-7000 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Jan 11, 2021, Aug 3, 2018 and 1 more (4 updates tracked since 2018).

About Seth Parker Worthing Pa-c NPPES

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

SETH PARKER WORTHING PA-C (NPI 1053897652) is an individual orthopaedic surgery provider in Indiana, Pennsylvania, licensed in Pennsylvania (MA062469) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053897652
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSETH PARKER WORTHINGCredential: PA-C
Location Address835 HOSPITAL RDIndiana, PA 15701-3629
Mailing Address405 Bella Vista DrJohnstown, PA 15904-2259 · (973) 615-7965
Phone(724) 357-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 17, 2018
Last NPPES UpdateMay 10, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1053897652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in PA · MA062469✔ Licensed in MD · C0006859
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
835 HOSPITAL RD, Indiana, PA 15701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seth Parker Worthing Pa-c 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 ID6002164381
PECOS Enrollment IDI20210525002806
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.

Areas of Expertise CMS Part B claims

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARLENE MARIE SHEPHARD OTR/L,CLT
Occupational Therapist
835 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 357-7068
SHERRY SAGATH
Physician Assistant (Medical)
835 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 357-7000
LETIZIA M COLLINI MS
Speech-Language Pathologist
835 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 357-7000
JANICE MARY APPOLONIA MS,CCC-SLP
Speech-Language Pathologist
835 HOSPITAL RD, OUTPATIENT REHAB CENTER
INDIANA, PA 15701
Indiana County (724) 357-7068
MRS. JILL ELIZABETH FULTON CRNA
Nurse Anesthetist, Certified Registered
835 HOSPITAL RD, ANESTHESIOLOGY DEPARTMENT
INDIANA, PA 15701
Indiana County (724) 357-7218
CAYLA LYLE DO
Student in an Organized Health Care Education/Training Program
835 HOSPITAL RD
INDIANA, PA 15701
Indiana County (412) 862-1922
JOSEPH A MACCHIAROLI MD
Anesthesiology
835 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 357-7000
CASSIDY JO FAIRMAN
Physician Assistant
835 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 357-7000

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 Seth Worthing's NPI number?

The NPI number for Seth Worthing is 1053897652. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Seth Worthing located?

Seth Worthing practices at 835 Hospital Rd, Indiana, PA 15701. The listed phone number is (724) 357-7000.

What is Seth Worthing's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Seth Worthing enrolled in Medicare?

Yes. Seth Worthing 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.

What insurance does Seth Worthing accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Seth Worthing as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Seth Worthing affiliated with any hospitals?

According to CMS data, Seth Worthing is affiliated with Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Worthing was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.