DUANE A WORLEY MD
NPI 1902906977
Family Medicine in Lincoln, CA

Active since September 22, 2006PECOS Enrolled
685 TWELVE BRIDGES DR, #B, LINCOLN, CA 95648(916) 408-5915(916) 408-5406 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Duane A Worley Md NPPES

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

DUANE A WORLEY MD (NPI 1902906977) is an individual family medicine provider in Lincoln, California, licensed in California (G86503) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902906977
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDUANE A WORLEYCredential: MD
Location Address685 TWELVE BRIDGES DR, #BLincoln, CA 95648-8689
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Fax(916) 408-5406
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMay 12, 2015
NPI 1902906977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G86503
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
685 TWELVE BRIDGES DR, Lincoln, CA 95648

Other Identifiers 4

Medicare UPING21189
Medicare ID-Type Unspecified00G865030
Medicare PIN00G865031CA
Medicaid00G865030CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Duane A Worley Md 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.

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 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.
115 services88 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.
33 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95648 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers29 claims64 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims17 services$1.16 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
2 suppliers13 claims13 services$170.89 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 8

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

Internal Medicine
685 TWELVE BRIDGES DR, SUITE B
LINCOLN, CA 95648
Dentist
685 TWELVE BRIDGES DR, STE #E
LINCOLN, CA 95648
Physical Therapist
685 TWELVE BRIDGES DR, SUITE A
LINCOLN, CA 95648
Family Medicine
685 TWELVE BRIDGES DR, #B
LINCOLN, CA 95648
Nurse Practitioner
685 TWELVE BRIDGES DR, #B
LINCOLN, CA 95648
Physical Therapy Assistant
685 TWELVE BRIDGES DR
LINCOLN, CA 95648
Pediatrics
685 TWELVE BRIDGES DR, SUITE B
LINCOLN, CA 95648
Pediatrics
685 TWELVE BRIDGES DR, SUITE B
LINCOLN, CA 95648

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 Duane Worley's NPI number?

The NPI number for Duane Worley is 1902906977. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Duane Worley located?

Duane Worley practices at 685 Twelve Bridges Dr #b, Lincoln, CA 95648. The listed phone number is (916) 408-5915.

What is Duane Worley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Duane Worley enrolled in Medicare?

Yes. Duane Worley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Duane Worley was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.