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THOMAS JEFFREY WORSTER MD
NPI 1962548529
Internal Medicine - Rheumatology in Bloomington, IN

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
1000 W 1ST ST, BLOOMINGTON, IN 47403(812) 332-1977(812) 332-1981 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2020, Dec 17, 2015 (2 updates tracked since 2015).

About Thomas Jeffrey Worster Md NPPES

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

THOMAS JEFFREY WORSTER MD (NPI 1962548529) is an individual rheumatology provider in Bloomington, Indiana, licensed in Indiana (01037724A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of University Of Texas Medical School At Houston (1988).

NPPES Registry Identity

NPI1962548529
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameTHOMAS JEFFREY WORSTERCredential: MD
Location Address1000 W 1ST STBloomington, IN 47403-2208
Mailing AddressPo Box 1329Bloomington, IN 47402-1329
Phone(812) 332-1977
Fax(812) 332-1981
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1988
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1962548529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IN · 01037724A
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1000 W 1ST ST, Bloomington, IN 47403
Open in Google Maps ↗

Other Identifiers 1

Medicaid100185070IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Thomas Jeffrey Worster Md 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 ID7012092828
PECOS Enrollment IDI20080304000447
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 7

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.
358 services189 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.
176 services122 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
126 services19 patients
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.
37 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services16 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

DR. JAMES M SULLIVAN M.D.
General Practice
1000 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4327

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 Thomas Worster's NPI number?

The NPI number for Thomas Worster is 1962548529. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Thomas Worster located?

Thomas Worster practices at 1000 W 1st St, Bloomington, IN 47403. The listed phone number is (812) 332-1977.

What is Thomas Worster's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Thomas Worster enrolled in Medicare?

Yes. Thomas Worster 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 Thomas Worster accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas Worster 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 Thomas Worster affiliated with any hospitals?

According to CMS data, Thomas Worster is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Paoli Hospital, Greene County General Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Worster was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.