2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1356340939 DPM
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GREGORY WORLEY, DPM

Foot & Ankle Surgery Podiatrist in CRESTVIEW HILLS, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
566
Medicare Part D claims · 199 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 309
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$1.6K
28 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GREGORY WORLEY, DPM reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 566 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
566
Part D claims, 2023
95%
generic prescribing
$1.6K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

GREGORY WORLEY, DPM's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about GREGORY WORLEY, DPM?

High performer (top quartile)

NPI registry status

Active

Issued 07/18/2005

NPI 1356340939

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

8,920 US NPIs in this specialty

Medicare Part D claims

566 83% vs specialty avg

2023 prescription claims

Specialty avg: 309

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Foot & Ankle Surgery Podiatrist compares to other specialties among Kentucky providers

Kentucky providers

Foot & Ankle Surgery Podiatrist share within Kentucky

1. Foot & Ankle Surgery Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Foot & Ankle Surgery Podiatrist share within Kentucky

Medicare quality performance — MIPS

GREGORY WORLEY, DPM's 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Foot & Ankle Surgery Podiatrist) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Foot & Ankle Surgery Podiatrist) — 90.3837/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

GREGORY WORLEY, DPM appears in the CMS NPPES registry as a Foot & Ankle Surgery Podiatrist provider holding DPM credentials at 351 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY, 41017, with a listed phone of (859) 212-0175. NPI 1356340939 was issued on 07/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WORLEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 566 prescription claims written by this provider, covering 199 Medicare beneficiaries and totaling roughly $30K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 16.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Foot & Ankle Surgery Podiatrist is a mid-sized specialty nationwide, with 8,920 enrolled providers across 53 states and an average of 309 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

351 CENTRE VIEW BLVD
CRESTVIEW HILLS, KY 41017

Provider Details

NPI 1356340939
Specialty Foot & Ankle Surgery Podiatrist
Credentials DPM
Gender Male
NPI Issued 07/18/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GREGORY WORLEY, DPM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SUMMIT MEDICAL GROUP INC
EDGEWOOD, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GREGORY WORLEY, DPM. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

Musculoskeletal Transplant Foundation Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

GREGORY WORLEY, DPM — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 566 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

566
Total Claims
$30K
Total Drug Cost
199
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
623
Total Day Supply
11,531
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$21K
Generic Drug Cost
$9K
Opioid Claims
93 (16.4% rate)
Antibiotic Claims
168

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.88
Gender Split
46% female / 54% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What GREGORY WORLEY, DPM prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Doxycycline Monohydrate
116
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
58
Pregabalin
37
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
35
Gabapentin
31
Pentoxifylline
30
Promethazine Hcl
25
Meloxicam
24
Amitriptyline Hcl
21
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Foot & Ankle Surgery Podiatrist Overview

How GREGORY WORLEY, DPM fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

8,920
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
309
Avg Claims per Provider

GREGORY WORLEY, DPM's 566 claims are above the specialty average of 309.

Nearby Foot & Ankle Surgery Podiatrist Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as WORLEY.

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is GREGORY WORLEY, DPM's specialty?
GREGORY WORLEY, DPM specializes in Foot & Ankle Surgery Podiatrist and practices in CRESTVIEW HILLS, Kentucky. Credentials: DPM.
How much does GREGORY WORLEY, DPM prescribe under Medicare Part D?
In 2023, GREGORY WORLEY, DPM wrote 566 Medicare Part D claims totaling $30K in drug costs for 199 beneficiaries.
What is GREGORY WORLEY, DPM's Medicare quality score?
GREGORY WORLEY, DPM has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GREGORY WORLEY, DPM located?
GREGORY WORLEY, DPM is located at 351 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY, 41017. Phone: (859) 212-0175.
What is GREGORY WORLEY, DPM's NPI number?
GREGORY WORLEY, DPM's National Provider Identifier (NPI) is 1356340939, issued on 07/18/2005.
Does GREGORY WORLEY, DPM prescribe more brand-name or generic drugs?
GREGORY WORLEY, DPM's prescribing is 5% brand-name and 95% generic drugs by claim count, with $21K in brand drug costs.
Does GREGORY WORLEY, DPM prescribe opioids?
Yes, GREGORY WORLEY, DPM had 93 opioid claims in 2023 with an opioid prescribing rate of 16.4%.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 8,920 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 309 Medicare Part D claims per year.
What drugs does GREGORY WORLEY, DPM prescribe most often?
Based on 2023 Medicare Part D data, GREGORY WORLEY, DPM's most frequently prescribed drugs include Doxycycline Monohydrate, Oxycodone-Acetaminophen, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GREGORY WORLEY, DPM accept Medicare?
GREGORY WORLEY, DPM appears in CMS Medicare data with 566 Part D claims and 199 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GREGORY WORLEY, DPM's credentials?
GREGORY WORLEY, DPM's NPI is 1356340939 with credentials DPM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology