DR. MARK STUART WORTHEN MD
NPI 1619085115
Family Medicine in Nags Head, NC

Active since August 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
4917 S CROATAN HWY STE 1A, NAGS HEAD, NC 27959(252) 449-6160(252) 449-6161 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Dec 5, 2022 (2 updates tracked since 2022).

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 and is a graduate of Other (1982).

NPPES Registry Identity

NPI1619085115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK STUART WORTHENCredential: MD
Location Address4917 S CROATAN HWY STE 1ANags Head, NC 27959-8996
Mailing Address4917 S Croatan Hwy Ste 1aNags Head, NC 27959-8996 · (252) 449-6160 · Fax (252) 449-6161
Fax(252) 449-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 26, 2006
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
NPI 1619085115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 31410
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4917 S CROATAN HWY STE 1A, Nags Head, NC 27959

Other Identifiers 3

Medicaid1619085115NC
Other89255NC · Bcbs
Medicaid7989255NC

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

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.

PECOS PAC ID9436107430
PECOS Enrollment IDI20050106000402
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 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Family Medicine
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959

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.

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.