TONY T TON-THAT MD
NPI 1013904259
Physical Medicine & Rehabilitation - Pain Medicine in Lancaster, PA

Q: What is Tony Ton-that's NPI number?

The NPI number for Tony Ton-that is 1013904259. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Q: What is Tony Ton-that's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Tony Ton-that was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment

2100 HARRISBURG PIKE, LANCASTER, PA 17601(717) 544-3197(717) 544-3171 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jan 15, 2018, Oct 26, 2016 (3 updates tracked since 2016).

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About Tony T Ton-that Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONY T TON-THAT MD (NPI 1013904259) is an individual pain medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD49558) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lancaster, and is a graduate of Hahnemann University College Of Medicine (1997).

NPPES Registry Identity

NPI1013904259

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameTONY T TON-THATCredential: MD

Location Address2100 HARRISBURG PIKELancaster, PA 17601-2644

Mailing Address675 Good DrLancaster, PA 17601-2426 · (717) 406-3000 · Fax (717) 394-7501

Phone(717) 544-3197

Fax(717) 544-3171

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1997

Enumeration DateOctober 3, 2005

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1013904259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in PA · MD49558

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

2100 HARRISBURG PIKE, Lancaster, PA 17601

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Secondary Practice Location 1

Location 1675 Good DrLancaster, PA 17601-2426 · Phone (717) 406-3000 · Fax (717) 394-7501

Other Identifiers 1

Medicaid001029850001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tony T Ton-that Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082708086

PECOS Enrollment IDI20240201003537

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Acupuncture with electrical stimulation, initial 15 minutes 97813

Acupuncture with electrical stimulation is a therapy where thin needles are inserted into specific points on your body. A mild electrical current is then passed through the needles to stimulate these points, helping to alleviate pain and promote healing. This initial session lasts 15 minutes.

74 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services24 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

39 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services20 patients

Acupuncture with electrical stimulation, each additional 15 minutes 97814

Acupuncture with electrical stimulation involves inserting thin needles into specific points on your body. A mild electrical current is then passed through these needles for a set time, often 15 minutes. This can enhance the effects of traditional acupuncture, helping to relieve pain and promote healing.

18 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%27 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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