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DR. TERESA L TOVREA D.O.
NPI 1407944945
Hospitalist in Kansas City, MO

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4401 WORNALL RD, KANSAS CITY, MO 64111(816) 932-0340(816) 932-3148 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Teresa L Tovrea D.o. NPPES

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

DR. TERESA L TOVREA D.O. (NPI 1407944945) is an individual hospitalist provider in Kansas City, Missouri, licensed in Kansas (05-29002) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1994).

NPPES Registry Identity

NPI1407944945
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. TERESA L TOVREACredential: D.O.
Location Address4401 WORNALL RDKansas City, MO 64111-3220
Mailing Address901 E 104th StKansas City, MO 64131-4517 · (816) 502-8752 · Fax (816) 932-9670
Phone(816) 932-0340
Fax(816) 932-3148
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1994
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1407944945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KS · 05-29002
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 05-29002 (KS)
4401 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Other Identifiers 4

Other335111KS · Firstguard
Medicaid200347650AKS
Other26191042KS · Blue Cross
Medicare UPING61229

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica.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

Dr. Teresa L Tovrea D.o. 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 ID1658318167
PECOS Enrollment IDI20050414001290, I20070713000535
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
293 services102 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services40 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims27 services$17.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers23 claims28 services$93.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TANESHA ANTANETTE HURT RN
Registered Nurse (Neonatal Intensive Care)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2007
MARIA AKRAM SHEIKH M.D.
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
YURI SHIF M.D.
Radiology (Diagnostic Radiology)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2550
LAURA SHELBY REYNOLDS CAA
Anesthesiologist Assistant
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2000
TYLER PORTER MD
Internal Medicine
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
DR. LISA MARIE HERMES M.D.
Physical Medicine & Rehabilitation
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4
KANSAS CITY, MO 64111
Jackson County (816) 932-2020
CHRISTINE M. SANKPILL M.D.
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
DR. JOHN LOREI M.D.
Emergency Medicine (Emergency Medical Services)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2047

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 Teresa Tovrea's NPI number?

The NPI number for Teresa Tovrea is 1407944945. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Teresa Tovrea located?

Teresa Tovrea practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-0340.

What is Teresa Tovrea's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Teresa Tovrea enrolled in Medicare?

Yes. Teresa Tovrea 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 Teresa Tovrea accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Medica list Teresa Tovrea 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 Teresa Tovrea affiliated with any hospitals?

According to CMS data, Teresa Tovrea is affiliated with St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Tovrea was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.