MARY LAUREN WORTHEN M.D.
NPI 1619219482
Otolaryngology in Philadelphia, PA

Q: What is Mary Worthen's NPI number?

The NPI number for Mary Worthen is 1619219482. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Mary Worthen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Worthen was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 20, 2013PECOS EnrolledAccepts Medicare Assignment

86.2/100

CMS Quality Rating

219 N BROAD ST FL 10, PHILADELPHIA, PA 19107(215) 762-5165 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mary Lauren Worthen M.d. NPPES

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

MARY LAUREN WORTHEN M.D. (NPI 1619219482) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD463621) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Straub Clinic And Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619219482

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameMARY LAUREN WORTHENCredential: M.D.

Location Address219 N BROAD ST FL 10Philadelphia, PA 19107

Mailing Address219 N Broad St Fl 10Philadelphia, PA 19107-1506 · (152) 762-5165

Phone(215) 762-5165

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 20, 2013

Last NPPES UpdateJune 21, 2018

✔ NPI 1619219482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in PA · MD463621

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

219 N BROAD ST FL 10, Philadelphia, PA 19107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Mary Lauren Worthen 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 ID6507171394

PECOS Enrollment IDI20191205000863

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Worthen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Straub Clinic & Hospital

4,919 mi

Multi-Specialty

888 S KING ST
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
664 clinicians in this Medicare group

NPI 1457306508 (808) 522-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

114 services93 patients

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.

91 services73 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.

80 services62 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.

59 services59 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

58 services52 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

49 services35 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.

46 services46 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

33 services21 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

24 services20 patients

Analysis of voice and resonance production 92524

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

23 services21 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

17 services12 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

15 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

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.

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.

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120022

Location888 S King StreetHonolulu, HI 96813 · Honolulu County

Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120026

Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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.

86.2/100

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

Scored as part of a group practice

Quality

80.28

Promoting Interoperability

100

Improvement Activities

Cost

73.72

Other Providers at the Same Location NPPES 6

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

DR. MAUSUMI NATALIE SYAMAL M.D.

Otolaryngology

219 N BROAD ST FL 10
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-5165

DR. AMANDA CHIA-MING HU M.D.

Otolaryngology

219 N BROAD ST FL 10, PHILADELPHIA EAR NOSE & THROAT ASSOCIATES
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-5530

LEHIGH VALLEY VOICE & AIRWAY INSTITUTE

Otolaryngology

219 N BROAD ST FL 10
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-5530

DR. AYKUT UNSAL D.O.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

219 N BROAD ST FL 10
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-5530

JESSE MICHAEL PALMER MS, CCC-SLP

Speech-Language Pathologist

219 N BROAD ST FL 10
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-5149

DR. JOSHUA DOWDY AUD

Audiologist

219 N BROAD ST FL 10
PHILADELPHIA, PA 19107

Philadelphia County (553) 021-5762

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 Mary Worthen's NPI number?

The NPI number for Mary Worthen is 1619219482. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Mary Worthen located?

Mary Worthen practices at 219 N Broad St Fl 10, Philadelphia, PA 19107. The listed phone number is (215) 762-5165.

What is Mary Worthen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mary Worthen enrolled in Medicare?

Yes. Mary 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 organization bills Medicare for Mary Worthen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Worthen reassigns Medicare benefits to Straub Clinic & Hospital (Honolulu, HI). The 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 Mary Worthen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Worthen accept?

Health plans from HMSA list Mary 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 Mary Worthen affiliated with any hospitals?

According to CMS data, Mary Worthen is affiliated with Straub Clinic And Hospital and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Worthen was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.