TORY R PETERSON
NPI 1336357946
Obstetrics & Gynecology in Wyomissing, PA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
1040 REED AVE, WYOMISSING, PA 19610(610) 898-7040(610) 376-8239 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tory R Peterson NPPES

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

TORY R PETERSON (NPI 1336357946) is an individual obstetrics & gynecology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD432225) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of University Of Utah School Of Medicine (2003).

NPPES Registry Identity

NPI1336357946
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTORY R PETERSON
Location Address1040 REED AVEWyomissing, PA 19610-2029
Mailing AddressPo Box 13579Reading, PA 19612-3579
Fax(610) 376-8239
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2003
Enumeration DateMay 18, 2007
Last NPPES UpdateNovember 18, 2014
NPI 1336357946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD432225
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1040 REED AVE, Wyomissing, PA 19610

Other Identifiers 2

Medicare PIN116197PA
Medicaid101997515PA

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

Tory R Peterson 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 ID8527153287
PECOS Enrollment IDI20070926001152
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
55 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services37 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.
18 services16 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
10%49 patients1/55-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.

Other Providers at the Same Location NPPES 16

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

Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Physician Assistant
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE, SUITE 4
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology (Gynecology)
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Physician Assistant
1040 REED AVE, SUITE 4
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610

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 Tory Peterson's NPI number?

The NPI number for Tory Peterson is 1336357946. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Tory Peterson located?

Tory Peterson practices at 1040 Reed Ave, Wyomissing, PA 19610. The listed phone number is (610) 898-7040.

What is Tory Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tory Peterson enrolled in Medicare?

Yes. Tory Peterson 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 Tory Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tory Peterson 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.

Is Tory Peterson affiliated with any hospitals?

According to CMS data, Tory Peterson is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Tory Peterson was last updated on November 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.