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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JARED REX WORTHAM DO
NPI 1902241235
Pediatrics in Pocatello, ID

Active since April 30, 2013PECOS Enrolled
500 S 11TH AVE STE 204, POCATELLO, ID 83201(208) 232-3303(855) 227-6711 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, May 4, 2026, Aug 10, 2023 and 1 more (4 updates tracked since 2023).

About Jared Rex Wortham Do NPPES

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

JARED REX WORTHAM DO (NPI 1902241235) is an individual pediatrics provider in Pocatello, Idaho, licensed in Idaho (O-0924) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902241235
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJARED REX WORTHAMCredential: DO
Location Address500 S 11TH AVE STE 204Pocatello, ID 83201-4878
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Phone(208) 232-3303
Fax(855) 227-6711
Sole ProprietorYes
Enumeration DateApril 30, 2013
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1902241235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · O-0924
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
500 S 11TH AVE STE 204, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Rex Wortham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jared Wortham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grant County Public Hospital District 1
444 mi
General Acute Care Hospital
2000 S CLOVER DR
Moses Lake, WA 98837
  • Reassigned Medicare billing, Washington enrollment
  • 158 clinicians in this Medicare group
NPI 1902818883 (509) 765-5606

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 11

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

CHRISTINE E BLACK MD
Obstetrics & Gynecology
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-3655
DR. YVONNE PERLE TREECE M.D.
Obstetrics & Gynecology
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-7862
MISS KENDRA J WESTERHAUS M.S.
Psychologist (Clinical Child & Adolescent)
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-7862
JASON SHARP
Psychologist
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-7862
DR. GREGORY DANIEL KOSTUR M.D.
Pediatrics
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-3355
CAROLINE SASSETTI-HRYCZYK CPNP
Nurse Practitioner (Pediatrics)
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-3355
MORGAN MORRISON
Psychologist
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-7862
ANGELA MARIE TEIGE DO
Obstetrics & Gynecology
500 S 11TH AVE STE 204
POCATELLO, ID 83201
Bannock County (208) 232-3355

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 Jared Wortham's NPI number?

The NPI number for Jared Wortham is 1902241235. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Jared Wortham located?

Jared Wortham practices at 500 S 11th Ave Ste 204, Pocatello, ID 83201. The listed phone number is (208) 232-3303.

What is Jared Wortham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jared Wortham enrolled in Medicare?

Yes. Jared Wortham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Wortham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Wortham reassigns Medicare benefits to Grant County Public Hospital District 1 (Moses Lake, WA). 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 Jared Wortham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Wortham accept?

Health plans from Providence Health Plan and Select Health list Jared Wortham 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.

When was this NPI record last updated?

The NPPES record for Jared Wortham was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.