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Dr. Jared Rex Wortham , DO

Pediatrics β€’ Moses Lake, WA

Active NPI 1902241235 Individual Practitioner Male Practitioner
Practice location in NPPES

1550 S Pioneer Way
Moses Lake, WA 988374613

Call 5097939787 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

1550 S Pioneer Way

Moses Lake, WA 988374613

Telephone 5097939787
Fax 5097643263
Organization at the Same NPPES Address or Phone
Samaritan Inland Mri Llc Facility NPI 1376504803

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $17.68 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

NPI first issued

2013

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes 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)

Dr. Wortham 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 Dr. Wortham 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 Moses Lake and Washington

14 active clinicians are listed under Pediatrics with a practice address in Moses Lake, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Moses Lake

0% of these 14 clinicians have the CMS telehealth indicator.

7.1% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $17.68.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
MINIMED 770G General $17.68

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

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA OP61442055

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES ID O-0924

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2253195 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230822001484

Enrollment State Jurisdiction

WA

PECOS Control ID

1759675341

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.

Clinicians Sharing This Practice Address or Phone

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

30 listed
Elizabeth Bjork , ARNP

Nurse Practitioner

NPI 1922841717

Advanced Registered Nurse Practitioner

Elizabeth Bonadies , CNM

Advanced Practice Midwife

NPI 1235637414

Certified Nurse Midwife

NPI 1033591375

Doctor of Medicine (M.D.)

Dr. Kameron Firouzi , MD

Obstetrics & Gynecology

NPI 1437511276

Doctor of Medicine (M.D.)

NPI 1457340986

Doctor of Medicine (M.D.)

Joseph Hancock , PA-C

Physician Assistant

NPI 1043902711

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Business Mailing Address May 04, 2026

Registered at 1616 S PIONEER WAY, MOSES LAKE, WA 988372487 (Tel: 5097939715)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2026

Pediatrics (license number reported to NPPES: WA OP61442055)

πŸ“
Updated Practice Location August 10, 2023

Registered at 1550 S PIONEER WAY, MOSES LAKE, WA 988374613 (Tel: 5097939787)

πŸ“
Updated Business Mailing Address August 10, 2023

Registered at 660 S COOLIDGE ST, MOSES LAKE, WA 988371872 (Tel: 5097939715)

πŸ“
Updated Practice Location May 09, 2023

Registered at 4750 YELLOWSTONE AVE, CHUBBUCK, ID 832022336 (Tel: 2082398055)

πŸ“
Updated Business Mailing Address May 09, 2023

Registered at 530 VERN ST, CHUBBUCK, ID 832021627 (Tel: 2088749010)

βœ…
NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 18, 2016

Registered at 2550 ADDISON AVE E, #A, TWIN FALLS, ID 833016749 (Tel: 2089339300)

πŸ“
Business Mailing Address (Initial Record) July 18, 2016

Registered at 2550 ADDISON AVE E, #A, TWIN FALLS, ID 833016749 (Tel: 2089339300)

πŸ‘€
Provider Name / Credentials (Initial Record) July 18, 2016

Recorded as JARED WORTHAM, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Pediatrics (license number reported to NPPES: ID O-0924)

🟒
Initial NPI Registration & Enumeration April 30, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902241235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2013
Last Update: May 04, 2026
Sole Proprietor: Yes

Other Pediatrics Specialists in Moses Lake

Healthcare providers in Moses Lake

Mailing Address

1616 S Pioneer Way

Moses Lake, WA 988372487

Phone: 5097939715

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.