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TERRY PLATTO M.D.
NPI 1447607361
Psychiatry & Neurology - Psychiatry in Tucson, AZ

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
2800 E AJO WAY, TUCSON, AZ 85713(520) 874-5401 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terry Platto M.d. NPPES

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

TERRY PLATTO M.D. (NPI 1447607361) is an individual psychiatry provider in Tucson, Arizona, licensed in Arizona (R75668) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2016).

NPPES Registry Identity

NPI1447607361
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTERRY PLATTOCredential: M.D.
Location Address2800 E AJO WAYTucson, AZ 85713-6204
Mailing Address2800 E Ajo WayTucson, AZ 85713-6204 · (520) 874-5401
Phone(520) 874-5401
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2016
Enumeration DateMay 20, 2016
✔ NPI 1447607361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AZ · R75668
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2800 E AJO WAY, Tucson, AZ 85713
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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

Terry Platto 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 ID5698066587
PECOS Enrollment IDI20200513001645
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 2

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.
110 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
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.

DR. CASSANDRA JO RASMUSSEN PSYD
Psychologist (Clinical)
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (520) 874-4062
DR. SARAH DAVIS MD
Hospitalist
2800 E AJO WAY, FAMILY AND COMMUNITY MEDICINE AT KINO
TUCSON, AZ 85713
Pima County (520) 874-2000
ANABEL AGUAYO LCSW
Social Worker (Clinical)
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (520) 874-7500
SPENCER COHEN RUSHTON DO
Emergency Medicine
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (520) 874-2000
DR. ANDRZEJ HONORY MD
Psychiatry & Neurology (Psychiatry)
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (520) 874-7500
RICHARD S RHOADS MD
Psychiatry & Neurology (Psychiatry)
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (520) 874-4105
CHRISTINA BOURNE M.D.
Psychiatry & Neurology (Addiction Medicine)
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (916) 734-2833
FINNIAN ALICE MOON DO
Emergency Medicine
2800 E AJO WAY
TUCSON, AZ 85713
Pima County (520) 626-5582

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 Terry Platto's NPI number?

The NPI number for Terry Platto is 1447607361. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Terry Platto located?

Terry Platto practices at 2800 E Ajo Way, Tucson, AZ 85713. The listed phone number is (520) 874-5401.

What is Terry Platto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Terry Platto enrolled in Medicare?

Yes. Terry Platto 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 Terry Platto accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Terry Platto 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 Terry Platto was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.