Active NPI 1992804306 Individual Practitioner Male Practitioner

Dr. James Worthington , MD

Orthopaedic Surgery • Fall River, MA

Professional Overview & Biography Verified Profile Summary

Dr. James Worthington, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Fall River, MA. Practice services are available at 1030 PRESIDENT AVE RM 113 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1030 President Ave Rm 113

Fall River, MA 027205923

Telephone 5089731600

Fax 5089731605

Associated Practice Facility / Clinic

🏢 Southcoast Physicians Group, Inc. Facility NPI 1700393808

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fall River, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.4 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Fall River, MA (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	235	$351.44	$137.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	308	57	$3.00	$1.32
20610 Aspiration and/or injection of fluid from large joint	300	186	$376.27	$77.61
J1030 Injection, methylprednisolone acetate, 40 mg	294	158	$12.00	$5.68
99213 Established patient office or other outpatient visit, typically 15 minutes	178	161	$246.81	$96.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$341.00	$117.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$520.00	$175.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	25	$169.00	$56.13
27447 Replacement of knee joint, both sides of knee	16	15	$7283.00	$1222.28
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$7292.00	$1190.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$156.50	$59.90
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	12	12	$786.00	$165.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	284	148	$12.00	$6.00
20610 Aspiration and/or injection of fluid from large joint	249	163	$372.78	$75.99
99213 Established patient office or other outpatient visit, typically 15 minutes	208	181	$236.50	$79.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	159	$345.00	$114.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$344.11	$113.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	21	$3.00	$1.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	25	$169.56	$56.99
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$170.15	$79.17
27447 Replacement of knee joint, both sides of knee	12	12	$7311.58	$1460.49
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$7325.00	$1464.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	283	$297.17	$112.85
J1030 Injection, methylprednisolone acetate, 40 mg	389	197	$12.84	$6.27
20610 Aspiration and/or injection of fluid from large joint	335	214	$365.61	$72.39
99213 Established patient office or other outpatient visit, typically 15 minutes	290	235	$203.70	$78.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	259	259	$296.85	$113.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	18	$3.25	$1.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	39	$150.71	$55.41
27447 Replacement of knee joint, both sides of knee	30	28	$7333.87	$1459.65
27130 Replacement of thigh bone and hip joint with prosthesis	26	24	$7339.65	$1460.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$120.38	$47.83
29880 Removal of both knee cartilages using an endoscope	13	13	$3047.62	$605.77
29881 Removal of knee cartilage using an endoscope	12	12	$2934.50	$583.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	427	205	$13.77	$6.65
20610 Aspiration and/or injection of fluid from large joint	359	215	$197.15	$72.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	239	$282.92	$112.27
99213 Established patient office or other outpatient visit, typically 15 minutes	268	214	$192.51	$75.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	251	251	$283.80	$111.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	15	$4.00	$1.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	34	$142.23	$56.32
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$5456.50	$1427.58
27447 Replacement of knee joint, both sides of knee	22	21	$4597.27	$1377.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$429.88	$163.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	387	200	$8.57	$5.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	246	$270.01	$110.13
99213 Established patient office or other outpatient visit, typically 15 minutes	344	253	$183.11	$73.80
20610 Aspiration and/or injection of fluid from large joint	323	196	$192.68	$69.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	211	211	$272.18	$110.64
73564 X-ray of knee, 4 or more views	28	20	$114.00	$41.75
27447 Replacement of knee joint, both sides of knee	27	27	$3903.41	$1405.60
27130 Replacement of thigh bone and hip joint with prosthesis	21	19	$3661.14	$1372.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$140.21	$55.73
73562 X-ray of knee, 3 views	17	14	$99.00	$37.73
73502 X-ray of hip, 2-3 views	15	14	$103.67	$38.57

Medical Specialties & State Licenses

CMS Verified: 2020-04-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 57352

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3016030 (MA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 27, 2020

Registered at 1030 PRESIDENT AVE RM 113, FALL RIVER, MA 027205923 (Tel: 5089731600)

📍

Updated Business Mailing Address April 27, 2020

Registered at 200 MILL RD STE 180, FAIRHAVEN, MA 027195255 (Tel: 5089732000)

✅

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2007

Registered at 235 HANOVER ST, FALL RIVER, MA 027205246 (Tel: 5086469525)

📍

Updated Business Mailing Address July 16, 2007

Registered at 235 HANOVER ST, FALL RIVER, MA 027205246 (Tel: 5086469525)

👤

Provider Name / Credentials Updated July 16, 2007

Recorded as JAMES WORTHINGTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Orthopaedic Surgery (License #57352 in MA)

🟢

Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992804306

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2006

Last Update: April 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Mill Rd Ste 180

Fairhaven, MA 027195255

Phone: 5089732000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.