Mark Worthington, M.D.
NPI 1003822875 · Gastroenterology Physician · Charlottesville, VA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Worthington, M.D. is a Gastroenterology Physician provider in Charlottesville, VA (NPI 1003822875).
Provider details
- NPI number
- 1003822875
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101054161 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
546 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 81 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 80 | $62 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 75 | $85 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 68 | $87 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 65 | $222 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 59 | 57 |
| Omeprazole | 52 | 24 |
| Pantoprazole Sodium | 44 | 14 |
| Linaclotidebrand: Linzess | 41 | 14 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 36 | 28 |
| Sucralfate | 25 | — |
| Lipase/Protease/Amylasebrand: Creon |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Frequently asked questions
- What is Mark Worthington's NPI number?
- Mark Worthington's National Provider Identifier (NPI) is 1003822875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Worthington's specialty?
- Mark Worthington is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Worthington located?
- Mark Worthington's practice location on file with NPPES is 1215 Lee St, Charlottesville, VA 22908-1612.
- What is Mark Worthington's phone number?
- The practice phone number listed in the NPPES registry for Mark Worthington is (434) 243-3090.
- Does Mark Worthington accept Medicare?
- Mark Worthington is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Worthington's NPI active?
- Yes — Mark Worthington's NPI (1003822875) is active in the NPPES registry as of the last update on 2023-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.