BRIANA OTWORTH
NPI 1265932008
Nurse Practitioner in Wheelersburg, OH

Q: What is Briana Otworth's NPI number?

The NPI number for Briana Otworth is 1265932008. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Q: What is Briana Otworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Briana Otworth was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 19, 2018PECOS EnrolledAccepts Medicare Assignment

76.08/100

CMS Quality Rating

8770 OHIO RIVER RD, WHEELERSBURG, OH 45694(740) 574-9090(740) 574-9999 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2020, Jul 20, 2020, Apr 8, 2020 and 2 more (5 updates tracked since 2018).

On this page

About Briana Otworth NPPES

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

BRIANA OTWORTH (NPI 1265932008) is an individual nurse practitioner in Wheelersburg, Ohio, licensed in Ohio (APRN.CNP.022877) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265932008

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBRIANA OTWORTH

Location Address8770 OHIO RIVER RDWheelersburg, OH 45694

Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8034 · Fax (740) 353-7900

Phone(740) 574-9090

Fax(740) 574-9999

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 19, 2018

Last NPPES UpdateDecember 17, 20205 updates tracked since enumeration

NPPES CertifiedDecember 17, 2020

✔ NPI 1265932008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.022877

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8770 OHIO RIVER RD, Wheelersburg, OH 45694

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Other Identifiers 1

Medicaid0292112OH

Accepted Insurance

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

Briana Otworth 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 ID6103173463

PECOS Enrollment IDI20180718002801

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 3

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.

171 services158 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.

116 services111 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360008

Location1805 27th StreetPortsmouth, OH 45662 · Scioto County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45694 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

76.08/100

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

Scored as part of a group practice

Quality

64.17

Promoting Interoperability

100

Improvement Activities

Cost

43.98

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.

MRS. SHONA M WILLIAMS

Pharmacy Technician