MICHAEL DOUGLAS WORLEY MSN, NP-C
NPI 1548704125
Nurse Practitioner - Family in Tucson, AZ

Q: What is Michael Worley's NPI number?

The NPI number for Michael Worley is 1548704125. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Q: What is Michael Worley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Worley was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 15, 2016PECOS EnrolledAccepts Medicare Assignment

61.81/100

CMS Quality Rating

1323 W PRINCE RD, TUCSON, AZ 85705(520) 887-0800(520) 887-1393 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 22, 2021, Jan 31, 2019, Dec 15, 2016 (3 updates tracked since 2016).

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About Michael Douglas Worley Msn, Np-c NPPES

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

MICHAEL DOUGLAS WORLEY MSN, NP-C (NPI 1548704125) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP9767) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1548704125

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMICHAEL DOUGLAS WORLEYCredential: MSN, NP-C

Location Address1323 W PRINCE RDTucson, AZ 85705-3114

Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4111 · Fax (520) 818-3630

Phone(520) 887-0800

Fax(520) 887-1393

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 15, 2016

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1548704125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · AP9767✔ Licensed in AZ · 068839

1323 W PRINCE RD, Tucson, AZ 85705

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Other Identifiers 1

Medicaid269635AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.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

Michael Douglas Worley Msn, Np-c 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 ID4880962687

PECOS Enrollment IDI20170620002766

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

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.

25 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85705 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

61.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

39.38

Promoting Interoperability

Improvement Activities

Cost

100

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers11 claims17 services$3.88 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.

DONNA C. ROWE FNP

Nurse Practitioner (Family)