1. Home
  2. Directory
  3. Georgia
  4. Covington
  5. Surgery
  6. NPI Profile

STEVEN R WHITWORTH M.D.
NPI 1881694388
Surgery in Covington, GA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4181 HOSPITAL DR NE, SUITE 303, COVINGTON, GA 30014(770) 787-6957(770) 784-0381 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Steven R Whitworth M.d. NPPES

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

STEVEN R WHITWORTH M.D. (NPI 1881694388) is an individual surgery provider in Covington, Georgia, licensed in Georgia (20848) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1881694388
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEVEN R WHITWORTHCredential: M.D.
Location Address4181 HOSPITAL DR NE, SUITE 303Covington, GA 30014-2541
Mailing Address4181 Hospital Dr Ne, Suite 303Covington, GA 30014-2541 · (770) 787-6957 · Fax (770) 784-0381
Phone(770) 787-6957
Fax(770) 784-0381
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 15, 2016
✔ NPI 1881694388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 20848
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4181 HOSPITAL DR NE, Covington, GA 30014
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Steven R Whitworth 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 ID7113004342
PECOS Enrollment IDI20080411000290
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 Reassignments

3

Medicare enrollment records show Steven Whitworth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Athens Specialty Care LLC
36 mi
Cardiovascular Disease
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 140 clinicians in this Medicare group
NPI 1184130627 (706) 475-7000
Piedmont Specialty Hospital Billing LLC
68 mi
Internal Medicine
1266 HIGHWAY 515 S
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 317 clinicians in this Medicare group
NPI 1699290510 (770) 801-2500
Piedmont Providers LLC
71 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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 5

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.
148 services51 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
130 services58 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
29 services20 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.
20 services20 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
41%73 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
54%41 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims183 services$9.39 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
1 supplier14 claims175 services$21.98 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims100 services$7.37 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier16 claims16 services$707.33 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 19

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

NEWTON HEALTH SYSTEM, INC.
Obstetrics & Gynecology
4181 HOSPITAL DR NE, SUITE 104
COVINGTON, GA 30014
Newton County (770) 385-8954
NEWTON HEALTH CARE SYSTEMS, INC.
Specialist
4181 HOSPITAL DR NE, SUITE 204
COVINGTON, GA 30014
Newton County (770) 788-6534
JULIANA NAHAS, MD PC
Pediatrics
4181 HOSPITAL DR NE, STE 202
COVINGTON, GA 30014
Newton County (770) 787-7444
MRS. HANNAH ADDIS PNP
Nurse Practitioner (Pediatrics)
4181 HOSPITAL DR NE, SUITE 202
COVINGTON, GA 30014
Newton County (770) 728-1901
GEORGIA UROLOGY PA
Urology
4181 HOSPITAL DR NE, SUITE 303
COVINGTON, GA 30014
Newton County (770) 787-7311
DR. CARTER ELISHA GIBSON M.D
Internal Medicine
4181 HOSPITAL DR NE, SUITE 401
COVINGTON, GA 30014
Newton County (770) 787-4700
MRS. JULIE BUFF WALTER CPNP, APRN
Nurse Practitioner (Pediatrics)
4181 HOSPITAL DR NE, SUITE 202
COVINGTON, GA 30014
Newton County (770) 787-7444
BENJAMIN C ROGERS M.D.
Surgery
4181 HOSPITAL DR NE, SUITE 303
COVINGTON, GA 30014
Newton County (770) 787-6957

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 Steven Whitworth's NPI number?

The NPI number for Steven Whitworth is 1881694388. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Steven Whitworth located?

Steven Whitworth practices at 4181 Hospital Dr NE Suite 303, Covington, GA 30014. The listed phone number is (770) 787-6957.

What is Steven Whitworth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Steven Whitworth enrolled in Medicare?

Yes. Steven Whitworth 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 Steven Whitworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Whitworth reassigns Medicare benefits to 3 organizations: Piedmont Athens Specialty Care LLC (Athens, GA), Piedmont Specialty Hospital Billing LLC (Jasper, GA) and Piedmont Providers LLC (Jasper, GA). 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 Steven Whitworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Whitworth accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Steven Whitworth 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 Steven Whitworth affiliated with any hospitals?

According to CMS data, Steven Whitworth is affiliated with Piedmont Newton Hospital and Piedmont Rockdale Hospital.

When was this NPI record last updated?

The NPPES record for Steven Whitworth was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.