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JARED REX WORTHAM DO
NPI 1902241235
Pediatrics in Moses Lake, WA

Active since April 30, 2013PECOS Enrolled
1550 S PIONEER WAY, MOSES LAKE, WA 98837(509) 793-9787(509) 764-3263 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2026, Aug 10, 2023, May 9, 2023 (3 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 Moses Lake, Washington, licensed in Washington (OP61442055) 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 Address1550 S PIONEER WAYMoses Lake, WA 98837-4613
Mailing Address1616 S Pioneer WayMoses Lake, WA 98837-2487 · (509) 793-9715 · Fax (509) 764-3244
Phone(509) 793-9787
Fax(509) 764-3263
Sole ProprietorYes
Enumeration DateApril 30, 2013
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1902241235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · OP61442055✔ 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.
1550 S PIONEER WAY, Moses Lake, WA 98837
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Other Identifiers 1

Medicaid2253195WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

MR. ETHAN D WASHBURN PA-C
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9770
JORDAN SMITH D.O.
Surgery
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9792
DR. PHILLIP CARRON M.D.
Family Medicine
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9780
JOSEPH HANCOCK PAC
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9789
RICHARD DANIEL TRACY FNP
Nurse Practitioner
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9780
PENNY TALCOTT MAYO RN, CDCES
Registered Nurse (Diabetes Educator)
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9780
MITCHELL DAVID VALENTE PA-C
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9790
ELIZABETH BONADIES CNM
Advanced Practice Midwife
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9786

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 1550 S Pioneer Way, Moses Lake, WA 98837. The listed phone number is (509) 793-9787.

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.

What insurance does Jared Wortham accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.