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PEYSAF WORTHALTER M.D.
NPI 1265627608
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment
20824 W DIXIE HWY, MIAMI, FL 33180(305) 654-0907(305) 999-0011 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peysaf Worthalter M.d. NPPES

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

PEYSAF WORTHALTER M.D. (NPI 1265627608) is an individual psychiatry provider in Miami, Florida, licensed in Florida (ME41125) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1265627608
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePEYSAF WORTHALTERCredential: M.D.
Location Address20824 W DIXIE HWYMiami, FL 33180-1147
Mailing Address20824 W Dixie HwyMiami, FL 33180-1147 · (305) 654-0907 · Fax (305) 999-0011
Phone(305) 654-0907
Fax(305) 999-0011
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 10, 2007
Last NPPES UpdateMay 17, 2011
✔ NPI 1265627608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME41125
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
20824 W DIXIE HWY, Miami, FL 33180
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Other Identifiers 4

Medicaid039728800FL
Other96159FL · Bcbs
Medicare PIN96159VFL
Medicare UPINB88986FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Peysaf Worthalter M.d. 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 ID1951299825
PECOS Enrollment IDI20110627000190
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 8

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.
429 services136 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
290 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
281 services145 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
124 services114 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.
95 services71 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
78 services33 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES 3

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

PEYSAF WORTHALTER, M.D., P.A.
Psychiatry & Neurology (Psychiatry)
20824 W DIXIE HWY
MIAMI, FL 33180
Miami-Dade County (305) 654-0907
NICOLE WORTHALTER SUTTON
Social Worker (Clinical)
20824 W DIXIE HWY
MIAMI, FL 33180
Miami-Dade County (305) 654-0907
DR. WILLIAM GREENFIELD M.D.
Psychiatry & Neurology (Psychiatry)
20824 W DIXIE HWY
MIAMI, FL 33180
Miami-Dade County (305) 949-0031

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 Peysaf Worthalter's NPI number?

The NPI number for Peysaf Worthalter is 1265627608. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Peysaf Worthalter located?

Peysaf Worthalter practices at 20824 W Dixie Hwy, Miami, FL 33180. The listed phone number is (305) 654-0907.

What is Peysaf Worthalter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Peysaf Worthalter enrolled in Medicare?

Yes. Peysaf Worthalter 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 Peysaf Worthalter accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Peysaf Worthalter 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 Peysaf Worthalter affiliated with any hospitals?

According to CMS data, Peysaf Worthalter is affiliated with Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Peysaf Worthalter was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.