Active NPI 1477789931 Individual Practitioner Male Practitioner

Dr. Todd A Worley , MD

Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Worley, MD is a certified Surgery practicing in Houston, TX. With approximately 22 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2004, Dr. Worley delivers high-quality medical care to the local community at 18220 TOMBALL PKWY.

Dr. Worley maintains professional affiliations with Houston Methodist Specialty Physicians, Tmh Physician Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18220 Tomball Pkwy
Suite 400

Houston, TX 770704347

Telephone 7134415151

Associated Practice Facility / Clinic

🏢 Lakewood Family Physicians Pa Facility NPI 1760483218

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +1.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

376 Specialists

Practicing in Houston, TX (2342 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Worley (22 Years) 22 Yrs

Houston Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	19	$212.00	$91.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$314.00	$121.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$317.00	$112.76
49650 Repair of groin hernia using an endoscope	14	14	$2209.03	$431.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$483.00	$168.52
91040 Study of esophageal sensation by balloon distension	12	12	$221.00	$45.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$873.00	$77.58
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$9008.00	$1602.96

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	30	27	$314.00	$129.95
91040 Study of esophageal sensation by balloon distension	20	19	$221.00	$46.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$483.00	$169.42
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$212.00	$91.75
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	15	15	$8587.63	$1453.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$873.00	$99.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$212.00	$93.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$317.00	$115.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$314.00	$131.48
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	14	14	$9008.00	$1422.55
49650 Repair of groin hernia using an endoscope	12	11	$2364.13	$469.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$483.00	$171.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$317.00	$112.90
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$175.00	$95.15
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$255.00	$134.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$305.88	$106.59
99443 Telephone medical discussion with physician, 21-30 minutes	18	17	$255.00	$112.36
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$175.00	$77.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$317.00	$108.30
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$212.00	$73.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$212.00	$74.12
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$219.00	$76.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	16	$314.00	$105.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$317.00	$109.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$317.00	$105.30
99213 Established patient office or other outpatient visit, typically 15 minutes	23	16	$212.00	$73.72
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$219.00	$75.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$314.00	$108.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$873.00	$128.94

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX N3393

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

203112202 (TX)

Medicaid State Provider ID

203112204 (TX)

Medicaid State Provider ID

203112203 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

1477789931 (TX)

Commercial Insurance / Payer ID Bcbs

8CL160 (TX)

Hospital & Practice Group Affiliations

Houston Methodist Specialty Physicians

6445 Main St, Houston, TX 770301502

Phone: 7134413150

Tmh Physician Associates Pllc

13300 Hargrave Rd, Houston, TX 770704550

Phone: 2817374861

Tmh Physician Associates Pllc

7575 San Felipe St, Houston, TX 770631777

Phone: 7132669955

Tmh Physician Associates Pllc

None, Houston, TX 77070

Phone: 2817374425

Tmh Physician Associates Pllc

None, Houston, TX 77070

Phone: 2817370899

Tmh Physician Associates Pllc

18220 State Hwy 249, Houston, TX 770704347

Phone: 2817378300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Barbara Bass , MD, FACS

Surgery

NPI 1881632636

Doctor of Medicine (M.D.), FACS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2016

Registered at 18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 770704347 (Tel: 7134415151)

📍

Updated Business Mailing Address December 19, 2016

Registered at 18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 770704347 (Tel: 7134415151)

👤

Provider Name / Credentials Updated December 19, 2016

Recorded as TODD WORLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Surgery (License #N3393 in TX)

🟢

Initial NPI Registration & Enumeration June 10, 2009

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: 1477789931

Entity Type:

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

Enumeration Date: June 10, 2009

Last Update: December 19, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18220 Tomball Pkwy, Suite 400

Houston, TX 770704347

Phone: 7134415151

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.