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DR. DONALD C WORLEY DDS
NPI 1326146481
Dentist - General Practice in White Bear Lake, MN

Active since September 20, 2006PECOS Enrolled
1430 HIGHWAY 96, WHITE BEAR LAKE, MN 55110(651) 426-9502(851) 653-2158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Donald C Worley Dds NPPES

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

DR. DONALD C WORLEY DDS (NPI 1326146481) is an individual general practice provider in White Bear Lake, Minnesota, licensed in Minnesota (10029) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326146481
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONALD C WORLEYCredential: DDS
Location Address1430 HIGHWAY 96White Bear Lake, MN 55110
Mailing AddressPo Box 1309, Mail Code 2113aMinneapolis, MN 55440-1309 · (952) 883-5151 · Fax (952) 883-5180
Phone(651) 426-9502
Fax(851) 653-2158
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326146481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 10029
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1430 HIGHWAY 96, White Bear Lake, MN 55110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald C Worley Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Worley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Group Health, Inc.
Same address
General Practice
1430 HIGHWAY 96 E
White Bear Lake, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1275688632 (651) 426-9502

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

DR. THOMAS E GRZESKOWIAK DDS
Dentist (General Practice)
1430 HIGHWAY 96
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-9502
DR. CONNIE L OSBECK DDS
Dentist (General Practice)
1430 HIGHWAY 96
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-9502
DR. CRAIG L BREMSETH DDS
Dentist (General Practice)
1430 HIGHWAY 96
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-9502
SHVETA SETIA DDS
Dentist
1430 HIGHWAY 96, HEALTHPARTNERS WHITE BEAR LAKE DENTAL
WHITE BEAR LAKE, MN 55110
Ramsey County (952) 224-9784
DR. BRUCE L NEUBAUER DDS
Dentist (General Practice)
1430 HIGHWAY 96
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-9502

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 Donald Worley's NPI number?

The NPI number for Donald Worley is 1326146481. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Donald Worley located?

Donald Worley practices at 1430 Highway 96, White Bear Lake, MN 55110. The listed phone number is (651) 426-9502.

What is Donald Worley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Worley enrolled in Medicare?

Yes. Donald Worley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Worley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Worley reassigns Medicare benefits to Group Health, Inc. (White Bear Lake, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Worley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Worley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.