THOR WILLIAM VAN DIVER M.D.
NPI 1023061934
Anesthesiology in St Petersburg, FL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
62.15/100
CMS Quality Rating
701 6TH ST S, ST PETERSBURG, FL 33701(727) 823-2188(727) 828-0723 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thor William Van Diver M.d. NPPES

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

THOR WILLIAM VAN DIVER M.D. (NPI 1023061934) is an individual anesthesiology provider in St Petersburg, Florida, licensed in Florida (ME88143) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1023061934
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTHOR WILLIAM VAN DIVERCredential: M.D.
Location Address701 6TH ST SSt Petersburg, FL 33701-4814
Mailing AddressPo Box 22005St Petersburg, FL 33742-2005 · (727) 823-2188 · Fax (727) 828-0723
Fax(727) 828-0723
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 5, 2010
NPI 1023061934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in FL · ME88143
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
701 6TH ST S, St Petersburg, FL 33701

Other Identifiers 4

Medicare PIN81367YFL
Other81367FL · Bcbs Fl
OtherP00407541FL · Railroad Mcr Linked To Grp# Cf4811
Medicaid268026200FL

Accepted 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

Thor William Van Diver M.d. 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 ID2860435989
PECOS Enrollment IDI20060505000822
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

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.

Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
22 services22 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.

62.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.32
Improvement Activities40

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.

Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL 33701
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Anesthesiology
701 6TH ST S
ST PETERSBURG, FL 33701
Internal Medicine
701 6TH ST S
ST PETERSBURG, FL 33701
Dietitian, Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Nurse Practitioner (Family)
701 6TH ST S
ST PETERSBURG, FL 33701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thor Van Diver's NPI number?

The NPI number for Thor Van Diver is 1023061934. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Thor Van Diver located?

Thor Van Diver practices at 701 6th St S, St Petersburg, FL 33701. The listed phone number is (727) 823-2188.

What is Thor Van Diver's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Thor Van Diver enrolled in Medicare?

Yes. Thor Van Diver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thor Van Diver accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Thor Van Diver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thor Van Diver was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.