2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1447227632 M.D.
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SETH WORLEY, M.D.

Clinical Cardiac Electrophysiology Physician in LANCASTER, Pennsylvania. 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
27
Medicare Part D claims · Clinical Cardiac Electrophysiology Physician avg: 2K
MIPS score
88.2391/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$397.8K
32 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SETH WORLEY, M.D. reported a CMS MIPS final score of 88.2391/100 — above the 83.1 national average — and filed 27 Medicare Part D claims in 2023.

88.2391/100
MIPS score · +5 vs avg
27
Part D claims, 2023
Likely
board-certified (heuristic)

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.

SETH WORLEY, M.D.'s MIPS score vs every scored U.S. clinician

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

88 Top 44% higher than 56% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

SETH WORLEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SETH WORLEY, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/07/2006

NPI 1447227632

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

27 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

88.2391/100 5.139099999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Clinical Cardiac Electrophysiology Physician share within Pennsylvania

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Pennsylvania

Medicare quality performance — MIPS

SETH WORLEY, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

High performer (top quartile)
MIPS Final Score
88.2391/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 88.2391/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 88.2391/100 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).

SETH WORLEY, M.D. appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding M.D. credentials at 217 HARRISBURG AVE, LANCASTER, PA, 17603, with a listed phone of (717) 544-8300. NPI 1447227632 was issued on 03/07/2006. 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 27 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. 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 88.2391/100 for the 2023 performance year (Quality 72.9364, Cost 60.0002), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

217 HARRISBURG AVE
LANCASTER, PA 17603

Provider Details

NPI 1447227632
Specialty Clinical Cardiac Electrophysiology Physician
Credentials M.D.
Gender Male
NPI Issued 03/07/2006

CMS Quality Score (MIPS)

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

88.2391
Final Score
Avg: 83.1
72.9364
Quality
60.0002
Cost
100
Promoting Interoperability

Reporting: Group practice

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 SETH WORLEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$397.8K

Largest payer

Merit Medical Systems Inc

Most common payment type

Travel and Lodging

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.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to SETH WORLEY, M.D.. To verify SETH WORLEY, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

27
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
68
Total Day Supply
1,923
Generic Drug Cost
$835

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
0.54

Clinical Cardiac Electrophysiology Physician Overview

How SETH WORLEY, M.D. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

SETH WORLEY, M.D.'s 27 claims are below the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Pennsylvania

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SETH WORLEY, M.D.'s specialty?
SETH WORLEY, M.D. specializes in Clinical Cardiac Electrophysiology Physician and practices in LANCASTER, Pennsylvania. Credentials: M.D..
How much does SETH WORLEY, M.D. prescribe under Medicare Part D?
In 2023, SETH WORLEY, M.D. wrote 27 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
What is SETH WORLEY, M.D.'s Medicare quality score?
SETH WORLEY, M.D. has a CMS MIPS Final Score of 88.2391/100 (Quality: 72.9364, Cost: 60.0002). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SETH WORLEY, M.D. located?
SETH WORLEY, M.D. is located at 217 HARRISBURG AVE, LANCASTER, PA, 17603. Phone: (717) 544-8300.
What is SETH WORLEY, M.D.'s NPI number?
SETH WORLEY, M.D.'s National Provider Identifier (NPI) is 1447227632, issued on 03/07/2006.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
Does SETH WORLEY, M.D. accept Medicare?
SETH WORLEY, M.D. appears in CMS Medicare data with 27 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SETH WORLEY, M.D.'s credentials?
SETH WORLEY, M.D.'s NPI is 1447227632 with credentials M.D.. 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