TODD A WORLEY M.D.
NPI 1477789931
Surgery in Houston, TX

Q: What is Todd Worley's NPI number?

The NPI number for Todd Worley is 1477789931. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Q: What is Todd Worley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Worley was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 10, 2009PECOS EnrolledAccepts Medicare Assignment

18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070(713) 441-5151 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Todd A Worley M.d. NPPES

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

TODD A WORLEY M.D. (NPI 1477789931) is an individual surgery provider in Houston, Texas, licensed in Texas (N3393) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2004).

NPPES Registry Identity

NPI1477789931

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTODD A WORLEYCredential: M.D.

Location Address18220 TOMBALL PKWY, SUITE 400Houston, TX 77070-4347

Mailing Address18220 Tomball Pkwy, Suite 400Houston, TX 77070-4347 · (713) 441-5151

Phone(713) 441-5151

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2004

Enumeration DateJune 10, 2009

Last NPPES UpdateDecember 19, 2016

✔ NPI 1477789931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · N3393

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

18220 TOMBALL PKWY, Houston, TX 77070

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Other Identifiers 8

Medicare PIN538015ZSWDTX

Medicare PINTXB109226TX

Other8CL160TX · Bcbs

Medicaid203112203TX

Medicare PINTXB145716TX

Medicaid203112202TX

Medicaid203112204TX

Other1477789931TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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

Todd A Worley M.d. 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 ID8325190069

PECOS Enrollment IDI20090710000307

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 8

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.

28 services19 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.

25 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670122

Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 20

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

MRS. CHRISTINA MARCUCCI MS, RD, LD

Dietitian, Registered

18220 TOMBALL PKWY, SUITE 300
HOUSTON, TX 77070

Harris County (281) 748-9050

NORTHWEST HOUSTON HEART CENTER,PA

Internal Medicine (Cardiovascular Disease)

18220 TOMBALL PKWY, SUITE, 205
HOUSTON, TX 77070

Harris County (281) 351-4911

DANIELLE SHERRELLE COMEAUX PA

Physician Assistant

18220 TOMBALL PKWY, SUITE 400
HOUSTON, TX 77070

Harris County (281) 737-0999

NELLY A HEIMAN MD

Obstetrics & Gynecology

18220 TOMBALL PKWY, SUITE 100
HOUSTON, TX 77070

Harris County (281) 737-1320

DR. DALBIR S PUREWAL M.D.

Family Medicine

18220 TOMBALL PKWY, SUITE 400
HOUSTON, TX 77070

Harris County (281) 737-0570

JIMMY HUU DO PHARMD

Pharmacist

18220 TOMBALL PKWY
HOUSTON, TX 77070

Harris County (281) 737-1411

CHUONG H. PHAM, MD, PA

Obstetrics & Gynecology

18220 TOMBALL PKWY, SUITE 210
HOUSTON, TX 77070

Harris County (832) 237-0222

DR. SHARAFALI Y DIWAN M.D.

Internal Medicine (Infectious Disease)

18220 TOMBALL PKWY, SUITE 230
HOUSTON, TX 77070

Harris County (832) 604-0005

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 Todd Worley's NPI number?

The NPI number for Todd Worley is 1477789931. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Todd Worley located?

Todd Worley practices at 18220 Tomball Pkwy Suite 400, Houston, TX 77070. The listed phone number is (713) 441-5151.

What is Todd Worley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Todd Worley enrolled in Medicare?

Yes. Todd Worley 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 Todd Worley accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Todd Worley 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.

Is Todd Worley affiliated with any hospitals?

According to CMS data, Todd Worley is affiliated with Houston Methodist Willowbrook Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Todd Worley was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.