DR. MARK STUART WORTHEN MD
NPI 1619085115
Family Medicine in Nags Head, NC
About Dr. Mark Stuart Worthen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK STUART WORTHEN MD (NPI 1619085115) is an individual family medicine provider in Nags Head, North Carolina, licensed in North Carolina (31410) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carteret General Hospital, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mark Stuart Worthen Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Worthen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Morehead City, NC 28557
- Reassigned Medicare billing, North Carolina enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carteret General Hospital
Acute Care Hospitals · Morehead City, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27959 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Worthen's NPI number?
The NPI number for Mark Worthen is 1619085115. It was assigned to this individual provider in the NPPES registry on August 26, 2006.
Where is Mark Worthen located?
Mark Worthen practices at 4917 S Croatan Hwy Ste 1A, Nags Head, NC 27959. The listed phone number is (252) 449-6160.
What is Mark Worthen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Worthen enrolled in Medicare?
Yes. Mark Worthen 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.
Which organizations bill Medicare for Mark Worthen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Worthen reassigns Medicare benefits to 2 organizations: Vidant Medical Group LLC (Greenville, NC) and Carteret Medical Group LLC (Morehead City, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Worthen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Worthen accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Mark Worthen 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 Mark Worthen affiliated with any hospitals?
According to CMS data, Mark Worthen is affiliated with Carteret General Hospital.
When was this NPI record last updated?
The NPPES record for Mark Worthen was last updated on March 17, 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.
# Dr. Mark Stuart Worthen, MD · NPI 1619085115
Family Medicine physician in Nags Head, North Carolina. Individual provider, active in the CMS NPPES registry since August 26, 2006.
## Identity
- **NPI:** 1619085115 (Entity type: Individual)
- **Enumerated:** August 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 31410 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4917 S CROATAN HWY STE 1A, Nags Head, NC 27959-8996
- **Phone:** (252) 449-6160 · **Fax:** (252) 449-6161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); Carteret Medical Group LLC (NPI 1700164464, Morehead City, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** March 17, 2023
- **Other identifiers:** Medicaid 1619085115 (NC); Other 89255 (NC); Medicaid 7989255 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1619085115) · Data from the CMS NPPES public registry.