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JOSHUA WORTHINGTON MD
NPI 1144456443
Surgery in Cleveland, TN

Active since June 02, 2009PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
2175 CHAMBLISS AVE NW STE D, CLEVELAND, TN 37311(423) 472-5423(423) 476-5523 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2025, Jun 4, 2019, Nov 17, 2015 (3 updates tracked since 2015).

About Joshua Worthington Md NPPES

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

JOSHUA WORTHINGTON MD (NPI 1144456443) is an individual surgery provider in Cleveland, Tennessee, licensed in Tennessee (52215) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Tennova Health Care-cleveland, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2009).

NPPES Registry Identity

NPI1144456443
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOSHUA WORTHINGTONCredential: MD
Location Address2175 CHAMBLISS AVE NW STE DCleveland, TN 37311-3842
Mailing AddressPo Box 52948Knoxville, TN 37950-2948 · (865) 306-5700 · Fax (865) 584-7760
Phone(423) 472-5423
Fax(423) 476-5523
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2009
Enumeration DateJune 2, 2009
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1144456443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 52215
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2175 CHAMBLISS AVE NW STE D, Cleveland, TN 37311
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Other Identifiers 1

MedicaidQ014876TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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

Joshua Worthington Md 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 ID4284870981
PECOS Enrollment IDI20150616001145
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 9

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.

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.
59 services59 patients
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.
44 services33 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
30 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 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.
19 services19 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.14
Promoting Interoperability86
Improvement Activities40
Cost70.89

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers13 claims660 services$4.63 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims186 services$7.11 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims162 services$9.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

SHANNON BEIERLE MD
Surgery
2175 CHAMBLISS AVE NW STE D
CLEVELAND, TN 37311
Bradley County (423) 472-5423
JOHN BOXBERGER MD
Surgery
2175 CHAMBLISS AVE NW STE D
CLEVELAND, TN 37311
Bradley County (423) 472-5423

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 Joshua Worthington's NPI number?

The NPI number for Joshua Worthington is 1144456443. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Joshua Worthington located?

Joshua Worthington practices at 2175 Chambliss Ave NW Ste D, Cleveland, TN 37311. The listed phone number is (423) 472-5423.

What is Joshua Worthington's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joshua Worthington enrolled in Medicare?

Yes. Joshua Worthington 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 Joshua Worthington accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Joshua Worthington 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 Joshua Worthington affiliated with any hospitals?

According to CMS data, Joshua Worthington is affiliated with Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Joshua Worthington was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.