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AMY REYNE WENTWORTH-KOTARA PA-C
NPI 1639200231
Physician Assistant in Dallas, TX

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
2001 INWOOD RD, DALLAS, TX 75390(214) 645-2800 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2019, Mar 21, 2017 (2 updates tracked since 2017).

About Amy Reyne Wentworth-kotara Pa-c NPPES

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

AMY REYNE WENTWORTH-KOTARA PA-C (NPI 1639200231) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA05178) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639200231
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY REYNE WENTWORTH-KOTARACredential: PA-C
Location Address2001 INWOOD RDDallas, TX 75390
Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (214) 645-2800
Phone(214) 645-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1639200231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA05178
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2001 INWOOD RD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Amy Reyne Wentworth-kotara Pa-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 ID3476644352
PECOS Enrollment IDI20070807000291
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 4

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 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.
112 services74 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.
82 services64 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
60 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
55 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers12 claims147 services$18.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers12 claims330 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers33 claims102 services$6.49 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers23 claims23 services$305.09 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
3 suppliers14 claims960 services$7.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers244 claims248 services$184.88 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 20

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

PROF. BEENA SUSAN MATHEW
Nurse Practitioner
2001 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-2800
AVIRA SOM MD
Internal Medicine (Rheumatology)
2001 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. MIRZA SHADMAN BAIG M.D.
Surgery (Vascular Surgery)
2001 INWOOD RD, 5TH FL, WEST CAMPUS BLDG 3
DALLAS, TX 75390
Dallas County (214) 645-0538
HAIDY IBRAHIM GOHAR GALOUS MD
Internal Medicine (Rheumatology)
2001 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. RAFIC FOUAD BERBARIE M.D.
Internal Medicine (Cardiovascular Disease)
2001 INWOOD RD, WEST CAMPUS BUILDING 3, 5TH FLOOR
DALLAS, TX 75390
Dallas County (214) 645-8000
DR. JOHN MATTHEW HANCOCK M.D.
Internal Medicine (Hematology & Oncology)
2001 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-2800
ISAMU TACHIBANA
Urology
2001 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-8765
ZEHRA TEKIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2001 INWOOD RD, 8TH AND 9TH FL
DALLAS, TX 75390
Dallas County (214) 645-2800

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 Amy Wentworth-kotara's NPI number?

The NPI number for Amy Wentworth-kotara is 1639200231. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Amy Wentworth-kotara located?

Amy Wentworth-kotara practices at 2001 Inwood Rd, Dallas, TX 75390. The listed phone number is (214) 645-2800.

What is Amy Wentworth-kotara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Wentworth-kotara enrolled in Medicare?

Yes. Amy Wentworth-kotara 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.

What insurance does Amy Wentworth-kotara accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Amy Wentworth-kotara 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 Amy Wentworth-kotara affiliated with any hospitals?

According to CMS data, Amy Wentworth-kotara is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Amy Wentworth-kotara was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.