TORY PRESTERA MD.PHD
NPI 1346224557
Ophthalmology in San Marcos, CA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
95.02/100
CMS Quality Rating
340 RANCHEROS DRIVE, SUITES 164/166, SAN MARCOS, CA 92069(760) 598-0400(760) 290-7044 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tory Prestera Md.phd NPPES

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

TORY PRESTERA MD.PHD (NPI 1346224557) is an individual ophthalmology provider in San Marcos, California, licensed in California (A62321) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1995).

NPPES Registry Identity

NPI1346224557
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTORY PRESTERACredential: MD.PHD
Location Address340 RANCHEROS DRIVE, SUITES 164/166San Marcos, CA 92069
Mailing Address340 Rancheros Drive, Suites 164/166San Marcos, CA 92069 · (760) 598-0400 · Fax (760) 290-7044
Fax(760) 290-7044
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1995
Enumeration DateDecember 1, 2005
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1346224557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A62321
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
340 RANCHEROS DRIVE, San Marcos, CA 92069

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 Prestera Md.phd 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 ID5991989451
PECOS Enrollment IDI20110406000872
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 23

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
14,580 services49 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.
429 services176 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.
420 services305 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
396 services92 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
393 services327 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
336 services188 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92069 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

95.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.87

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%168 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.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
340 RANCHEROS DRIVE, SUITES 164/166
SAN MARCOS, CA 92069
Ophthalmology (Glaucoma Specialist)
340 RANCHEROS DRIVE, SUITES 164/166
SAN MARCOS, CA 92069
Ophthalmology
340 RANCHEROS DRIVE, SUITES 164/166
SAN MARCOS, CA 92069

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 Prestera's NPI number?

The NPI number for Tory Prestera is 1346224557. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Tory Prestera located?

Tory Prestera practices at 340 Rancheros Drive Suites 164/166, San Marcos, CA 92069. The listed phone number is (760) 598-0400.

What is Tory Prestera's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Tory Prestera enrolled in Medicare?

Yes. Tory Prestera 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 Prestera accept?

Health plans from Providence Health Plan list Tory Prestera 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 Tory Prestera was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.