DR. ROGER CARL WORTHINGTON D.M.D.
NPI 1417942913
Dentist - General Practice in Jackson, KY

Q: What is Roger Worthington's NPI number?

The NPI number for Roger Worthington is 1417942913. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Roger Worthington's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Worthington was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 12, 2005PECOS Enrolled

1484 LAKESIDE DRIVE, DENTAL SUITE, JACKSON, KY 41339(606) 666-9950(606) 666-9136 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2023, Aug 17, 2021, Mar 27, 2020 (3 updates tracked since 2020).

On this page

About Dr. Roger Carl Worthington D.m.d. NPPES

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

DR. ROGER CARL WORTHINGTON D.M.D. (NPI 1417942913) is an individual general practice provider in Jackson, Kentucky, licensed in Kentucky (5515) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417942913

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROGER CARL WORTHINGTONCredential: D.M.D.

Location Address1484 LAKESIDE DRIVE, DENTAL SUITEJackson, KY 41339

Mailing AddressPo Box 690Beattyville, KY 41311-0690 · (066) 464-0151 · Fax (606) 464-0152

Phone(606) 666-9950

Fax(606) 666-9136

Sole ProprietorNo

Enumeration DateSeptember 12, 2005

Last NPPES UpdateMay 2, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1417942913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 5515

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.

1484 LAKESIDE DRIVE, Jackson, KY 41339

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1308 N KY 7, Dental SuiteSandy Hook, KY 41711 · Phone (606) 738-9785 · Fax (859) 317-2148

Location 2672 Main StWest Liberty, KY 41472-1018 · Phone (606) 743-3030 · Fax (606) 743-7480

Location 360 Center StBeattyville, KY 41311-9085 · Phone (606) 464-9262 · Fax (606) 208-8122

Other Identifiers 2

Other1669988Ucci

Medicaid7100437870KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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 (PECOS)

Dr. Roger Carl Worthington D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 9

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

MS. BEVERLY DAWN ELLIS APRN

Nurse Practitioner (Family)