ROBIN L. WORSHAM MD
NPI 1356430565
Family Medicine in Irving, TX

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
4545 FULLER DR, SUITE 340, IRVING, TX 75038(972) 870-5511(972) 870-5512 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robin L. Worsham Md NPPES

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

ROBIN L. WORSHAM MD (NPI 1356430565) is an individual family medicine provider in Irving, Texas, licensed in Texas (H3617) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baraga County Memorial Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1986).

NPPES Registry Identity

NPI1356430565
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBIN L. WORSHAMCredential: MD
Location Address4545 FULLER DR, SUITE 340Irving, TX 75038-6530
Mailing Address550 E Ann Arbor AveDallas, TX 75216-6718 · (214) 376-1701 · Fax (972) 217-1161
Fax(972) 870-5512
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1986
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 28, 2011
✔ NPI 1356430565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H3617
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.
4545 FULLER DR, Irving, TX 75038

Other Identifiers 4

Medicare UPINE17092TX
Medicaid123032805TX
Other8U3448TX · Bcbs Of Texas
OtherP00279109TX · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robin L. Worsham 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 ID6901820943
PECOS Enrollment IDI20060118000226
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 Reassignments

4

Medicare enrollment records show Robin Worsham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
4545 FULLER DR STE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
Same address
Family Medicine
4545 FULLER DR, STE. 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
Primary Care
1801 CHUKKA HINA
Durant, OK 74701
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.
22 services20 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Baraga County Memorial Hospital

Critical Access Hospitals · L' Anse, MI
OwnershipGovernment - Local
CMS Certification Number231307
Location18341 Us Highway 41L' Anse, MI 49946 · Baraga County
Emergency services

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.44 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 15

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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
4545 FULLER DR, STE. 325
IRVING, TX 75038
Hospice Care, Community Based
4545 FULLER DR, STE 330
IRVING, TX 75038
Family Medicine
4545 FULLER DR, SUITE 325
IRVING, TX 75038
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
4545 FULLER DR, SUITE 240
IRVING, TX 75038
Nurse Practitioner (Family)
4545 FULLER DR, SUITE 325
IRVING, TX 75038
Family Medicine
4545 FULLER DR, SUITE# 325
IRVING, TX 75038
Nurse Practitioner
4545 FULLER DR, SUITE 325
IRVING, TX 75038
Day Training, Developmentally Disabled Services
4545 FULLER DR, SUITE 415
IRVING, TX 75038

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 Robin Worsham's NPI number?

The NPI number for Robin Worsham is 1356430565. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Robin Worsham located?

Robin Worsham practices at 4545 Fuller Dr Suite 340, Irving, TX 75038. The listed phone number is (972) 870-5511.

What is Robin Worsham's specialty?

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

Is Robin Worsham enrolled in Medicare?

Yes. Robin Worsham 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.

Which organizations bill Medicare for Robin Worsham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin Worsham reassigns Medicare benefits to 4 organizations: Vpa Of Texas PLLC (Irving, TX), Iah Of Texas, PLLC (Irving, TX), Choctaw Nation Of Oklahoma (Durant, OK) and The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). Each 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 Robin Worsham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robin Worsham affiliated with any hospitals?

According to CMS data, Robin Worsham is affiliated with Baraga County Memorial Hospital and Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Robin Worsham was last updated on July 28, 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.