1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Physician Assistant
  6. NPI Profile

KELLY J WALWORTH PAC
NPI 1376526756
Physician Assistant - Medical in Oklahoma City, OK

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
13174 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73142(405) 721-5555(405) 470-7093 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017, Mar 31, 2017 and 1 more (4 updates tracked since 2017).

About Kelly J Walworth Pac NPPES

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

KELLY J WALWORTH PAC (NPI 1376526756) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1460) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1376526756
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY J WALWORTHCredential: PAC
Location Address13174 N MACARTHUR BLVDOklahoma City, OK 73142-3017
Mailing AddressDept 96-0317Oklahoma City, OK 73196-0317 · (405) 521-1969 · Fax (405) 521-1979
Phone(405) 721-5555
Fax(405) 470-7093
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1376526756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 1460
13174 N MACARTHUR BLVD, Oklahoma City, OK 73142
Open in Google Maps ↗

Other Identifiers 2

Other1710198569OK · Group Npi
Medicaid200265130AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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

Kelly J Walworth Pac 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 ID3577548528
PECOS Enrollment IDI20050722000737
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 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,210 services172 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.
620 services414 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
346 services229 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
288 services224 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.
213 services151 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
153 services120 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,104 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
13%431 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%1,839 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%678 patients4/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
91%635 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%1,839 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
99%176 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MARK A DAWKINS MD
Dermatology
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 721-5555
DR. SUNITA CHAHAR CRITTENDEN M.D.
Dermatology
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 721-5555
MARK A DAWKINS MD PC
Specialist
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 721-5555
MR. ALMA JORDAN HINTZE PA-C
Physician Assistant
13174 N MACARTHUR BLVD
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 721-5555

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 Kelly Walworth's NPI number?

The NPI number for Kelly Walworth is 1376526756. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Kelly Walworth located?

Kelly Walworth practices at 13174 N Macarthur Blvd, Oklahoma City, OK 73142. The listed phone number is (405) 721-5555.

What is Kelly Walworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Walworth enrolled in Medicare?

Yes. Kelly Walworth 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 Kelly Walworth accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Kelly Walworth 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.

When was this NPI record last updated?

The NPPES record for Kelly Walworth was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.