JENNIFER WORTH M.D.
NPI 1538289269
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lancaster, PA

NPI Status: Active since March 29, 2007

Contact Information

540 N DUKE ST
STE 110
LANCASTER, PA
ZIP 17602
Phone: (717) 544-4995

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  • Individual
  • Female
  • Years of Experience 22
  • Thoracic Surgery (Cardiothoracic Vascula...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER WORTH

This page provides the complete NPI Profile along with additional information for Jennifer Worth, a provider established in Lancaster, Pennsylvania with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery) and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1538289269 assigned on March 2007. The practitioner's primary taxonomy code is 208G00000X with license number MD449920 (PA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1538289269
Provider Name
JENNIFER WORTH M.D.
Gender
Female
Entity Type
Individual
Location Address
540 N DUKE ST STE 110 LANCASTER, PA 17602
Location Phone
(717) 544-4995
Mailing Address
330 WASHINGTON ST STE 520 NORWICH, CT 06360
Mailing Phone
(717) 544-4995
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
03-29-2007
Last Update Date
11-18-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD449920
License State
PA
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

24186 (NE)
2208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

65294 (CT)

Medicare Participation & PECOS Enrollment Status

Jennifer Worth is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer Worth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1456441385

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200804002943

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration of initial secretion of lung airway using an endoscope

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

This service was performed 14 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 18 times for 17 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 21 times for 19 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 15 times for 13 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 15 times for 15 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 27 times for 27 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 18 times for 18 patients

Removal of lymph nodes of chest cavity using an endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.

This service was performed 15 times for 15 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 15 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $41.71 for a new patient copayment and $17.09 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 17602 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $166.87
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $41.71
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.36
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $17.09
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538289269, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 4 + 8 + 1 + 8 + 2 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1538289269.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST
LANCASTER, PA 17602
Psychologist
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Physician Assistant (Surgical)
540 N DUKE ST, SUITE 110
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Nurse Practitioner
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Physician Assistant (Medical)
540 N DUKE ST
LANCASTER, PA 17602
Physician Assistant (Surgical)
540 N DUKE ST, SUITE 110
LANCASTER, PA 17602
Internal Medicine (Pulmonary Disease)
540 N DUKE ST, SUITE 244
LANCASTER, PA 17602
Physician Assistant (Surgical)
540 N DUKE ST, SUITE 110
LANCASTER, PA 17602
Family Medicine
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Physician Assistant (Medical)
540 N DUKE ST
LANCASTER, PA 17602
Thoracic Surgery (Cardiothoracic Vascular Surgery)
540 N DUKE ST, SUITE 110
LANCASTER, PA 17602
Physician Assistant
540 N DUKE ST
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST, SUITE 110
LANCASTER, PA 17602
Physician Assistant (Medical)
540 N DUKE ST
LANCASTER, PA 17602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538289269, enumerated as an "individual" on March 29, 2007.

The provider is located at 540 N DUKE ST STE 110 LANCASTER, PA 17602 and the phone number is (717) 544-4995.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.