DR. ELISE WORLEY D.O.
NPI 1215257902
Family Medicine in Baltimore, MD

Q: What is Elise Worley's NPI number?

The NPI number for Elise Worley is 1215257902. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Q: What is Elise Worley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Elise Worley was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

5601 LOCH RAVEN BLVD, SMYTH BLDG. SUITE 201, BALTIMORE, MD 21239(443) 444-6100 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2016, Aug 29, 2016, Dec 9, 2015 (3 updates tracked since 2015).

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About Dr. Elise Worley D.o. NPPES

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

DR. ELISE WORLEY D.O. (NPI 1215257902) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (H80072) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1215257902

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ELISE WORLEYCredential: D.O.

Location Address5601 LOCH RAVEN BLVD, SMYTH BLDG. SUITE 201Baltimore, MD 21239-2945

Mailing Address7100 Ridgeleigh CtBaltimore, MD 21212-1624 · (914) 850-0942

Phone(443) 444-6100

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010

Enumeration DateJune 4, 2010

Last NPPES UpdateSeptember 28, 20163 updates tracked since enumeration

✔ NPI 1215257902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · H80072

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License C7-0004575 (DE), H0080072 (MD)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5601 LOCH RAVEN BLVD, Baltimore, MD 21239

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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

Dr. Elise Worley D.o. 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 ID1951533041

PECOS Enrollment IDI20151103001285, I20210609002330

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 16

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 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.

180 services154 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.

90 services86 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

47 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

39 services39 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.

37 services37 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

35 services35 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

32 services32 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

31 services29 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

26 services25 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

23 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

18 services18 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

16 services16 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

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.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers15 claims35 services$6.58 avg. paid by Medicare

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$23.94 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers12 claims12 services$31.94 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.00 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 20

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

JACQUELINE L. HOOVER P.A.-C

Physician Assistant

5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239

Baltimore City (443) 444-4730

DR. TIFFANI DANIELLE PITTMAN M.D.

Anesthesiology

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-4863

DR. SUJAN THAPALIYA M.D.

Internal Medicine

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (855) 633-0363

SHARAREH SHERRY BADRI M.D.

Internal Medicine (Geriatric Medicine)

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-6100

ALAYNA MARIE BLAZAKIS CRNP

Nurse Practitioner

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-4275

DR. ELIAS K SHAYA M.D.

Psychiatry & Neurology (Psychiatry)

5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239

Baltimore City (410) 532-4540

CANDICE DIOR JORDAN M.D.

Emergency Medicine

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (855) 633-5655

SONJA STANTON RN BSN

Registered Nurse (Gerontology)

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-6100

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 Elise Worley's NPI number?

The NPI number for Elise Worley is 1215257902. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Elise Worley located?

Elise Worley practices at 5601 Loch Raven Blvd Smyth Bldg. Suite 201, Baltimore, MD 21239. The listed phone number is (443) 444-6100.

What is Elise Worley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elise Worley enrolled in Medicare?

Yes. Elise Worley 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.

Is Elise Worley affiliated with any hospitals?

According to CMS data, Elise Worley is affiliated with Medstar Franklin Square Medical Center.

When was this NPI record last updated?

The NPPES record for Elise Worley was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.