SKYLER S WORTHINGTON PA-C
NPI 1992091722
Physician Assistant in Potlatch, ID
NPI Status: Active since June 20, 2011
Contact Information
156 6TH ST
POTLATCH, ID
ZIP 83855
Phone: (208) 875-2380
Fax: (208) 875-2303
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About SKYLER WORTHINGTON
This page provides the complete NPI Profile along with additional information for Skyler Worthington, a primary care provider established in Potlatch, Idaho with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1992091722 assigned on June 2011. The practitioner's primary taxonomy code is 363A00000X with license number PA-1825 (ID). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1992091722
- Provider Name
- SKYLER S WORTHINGTON PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 156 6TH ST POTLATCH, ID 83855
- Location Phone
- (208) 875-2380
- Location Fax
- (208) 875-2303
- Mailing Address
- PO BOX 8007 MOSCOW, ID 83843
- Mailing Phone
- (208) 882-4511
- Mailing Fax
- (208) 875-2303
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2011
- Last Update Date
- 07-19-2024
- Code Navigator
A primary care provider (PCP) like Skyler Worthington sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA-1825
- License State
- ID
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Skyler Worthington is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
3 DME suppliers used 21 Medicare Claims 53 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 83855 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.13
- Minimum New Patient Price $52.44
- Maximum New Patient Price $160.17
- Average New Patient Copayment $20.28
- Minimum New Patient Copayment $13.11
- Maximum New Patient Copayment $40.04
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.77
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $130.93
- Average Established Patient Copayment $16.44
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $32.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0% | 72 |
| Appropriate Treatment for Upper Respiratory Infection (URI) | 100% | 63 |
| Breast Cancer Screening | 49% | 168 |
| Cervical Cancer Screening | 25% | 153 |
| Chlamydia Screening for Women | 5% | 44 |
| Closing the Referral Loop: Receipt of Specialist Report | 58% | 349 |
| Colorectal Cancer Screening | 46% | 407 |
| Controlling High Blood Pressure | 61% | 219 |
| Diabetes: Eye Exam | 8% | 62 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 23% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 62 |
| Documentation of Current Medications in the Medical Record | 99% | 1784 |
| Falls: Screening for Future Fall Risk | 25% | 265 |
| HIV Screening | 5% | 520 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 30% | 717 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 27% | 659 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 23% | 1032 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 59% | 514 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 33% | 78 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 69% | 514 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 82% | 200 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 281 |
| Use of High-Risk Medications in Older Adults | 8% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 283 |
| Use of High-Risk Medications in Older Adults | 8% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 283 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992091722, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992091722, enumerated as an "individual" on June 20, 2011.
The provider is located at 156 6TH ST POTLATCH, ID 83855 and the phone number is (208) 875-2380.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: PacificSource Health Plans and Providence Health. Please consult your insurance carrier or call the provider to verify.
