Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael Wentworth , PA-C

Physician Assistant • Rockwall, TX

Active NPI 1568867372 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

810 E Ralph Hall Pkwy
Rockwall, TX 750326878

Call 4694023400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

810 E Ralph Hall Pkwy

Rockwall, TX 750326878

Telephone 4694023400
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Healthtexas Provider Network. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2014

Medicare patients

414 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $51,504 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $36,116 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

565 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$13,701 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.81 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Wentworth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Wentworth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rockwall and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: 316. Middle half: 162 to 797.

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: $26,509. Middle half: $13,851 to $48,917.

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 27 clinicians with data). Median for this group: $18,993. Middle half: $9,100 to $34,657.

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Rockwall, TX (2024, 28 clinicians with data). Median for this group: 356. Middle half: 123 to 1,135.

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Rockwall, TX (2024, 28 clinicians with data). Median for this group: $15,792. Middle half: $2,166 to $125,497.

Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.

38 active clinicians are listed under Physician Assistant with a practice address in Rockwall, TX (11,008 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rockwall

18.4% of these 38 clinicians have the CMS telehealth indicator.

63.2% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $14.81.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
PAXLOVID General $14.81

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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
212 199 $238.22 $107.08
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
211 193 $168.44 $76.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg
112 13 $0.60 $0.11
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
65 63 $70.00 $66.83
81003 Automated urinalysis test
42 37 $20.00 $2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
37 36 $99.19 $16.20
71046 X-ray of chest, 2 views
33 32 $81.64 $23.04
96372 Injection of drug or substance under skin or into muscle
31 29 $65.00 $12.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
26 26 $207.18 $93.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $309.53 $140.04
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
14 14 $84.54 $34.62
87430 Detection test by immunoassay technique for streptococcus, group a (strep)
14 14 $100.86 $16.47

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 191 971 $324.95 180
Cefdinir Cefdinir 80 796 $1,718.79 78
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 45 318 $587.95 42
Azithromycin Azithromycin 44 220 $161.78 44
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 43 410 $448.65 41
Paxlovid Nirmatrelvir/Ritonavir 27 135 $1,429.40 27
Cephalexin Cephalexin 23 217 $123.33 22
Ofloxacin Ofloxacin 21 351 $248.44 21
Amoxicillin Amoxicillin 14 140 $25.52 14
Methylprednisolone Methylprednisolone 14 84 $74.49 14
Albuterol Sulfate Hfa Albuterol Sulfate 14 351 $342.66 14
Lagevrio (Eua) Molnupiravir 14 70 $7,970.40 14
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 12 102 $80.19 12
Doxycycline Monohydrate Doxycycline Monohydrate 12 111 $131.70 12
Ibuprofen Ibuprofen 11 61 $32.48 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20150306001217

Enrollment State Jurisdiction

TX

PECOS Control ID

8628394756

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Healthtexas Provider Network

5800 E Lovers Ln, Dallas, TX 752062901

Phone: 9728176260

Healthtexas Provider Network

1005 Legacy Ranch Rd, Waxahachie, TX 751651294

Phone: 4698009790

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Healthtexas Provider Network

821 N Coleman St, Prosper, TX 750782339

Phone: 4698005200

Healthtexas Provider Network

925 E Southlake Boulevard, Southlake, TX 760921477

Phone: 8179128560

Healthtexas Provider Network

5408 Colleyville Blvd, Colleyville, TX 760345833

Phone: 8174989920

Healthtexas Provider Network

2021 N Macarthur Boulevard, Irving, TX 750612210

Healthtexas Provider Network

7217 Telecom Pkwy, Garland, TX 750442203

Healthtexas Provider Network

731 E Southlake Blvd, Southlake, TX 760926378

Phone: 8174243366

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Leonard Gruppo , PA-C

Physician Assistant

NPI 1831189372

Physician Assistant (Certified)

Julia Pye , PA-C

Physician Assistant

NPI 1164071684

Physician Assistant (Certified)

Lya Swaner , PA-C

Physician Assistant

NPI 1821507658

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location February 27, 2019

Registered at 810 E RALPH HALL PKWY, ROCKWALL, TX 750326878 (Tel: 4694023400)

📍
Updated Business Mailing Address February 27, 2019

Registered at 8411 HUNNICUT RD, DALLAS, TX 752285934 (Tel: 5129705388)

âś…
NPI Profile Active October 20, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 20, 2015

Registered at 4647 MEDICAL DR, SAN ANTONIO, TX 782294403 (Tel: 2103588144)

📍
Business Mailing Address (Initial Record) October 20, 2015

Registered at 38 MESSENGER CRK, SAN ANTONIO, TX 782382416 (Tel: 5129705388)

👤
Provider Name / Credentials (Initial Record) October 20, 2015

Recorded as MICHAEL WENTWORTH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 23, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1568867372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2014
Last Update: February 27, 2019
Sole Proprietor: No

Other Physician Assistants in Rockwall

All Physician Assistants in Rockwall

Mailing Address

8411 Hunnicut Rd

Dallas, TX 752285934

Phone: 5129705388

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.