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DR. ANDREA LEE TORSONE M.D.
NPI 1619987716
Obstetrics & Gynecology - Gynecology in Raleigh, NC

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
700 EXPOSITION PL, STE 161, RALEIGH, NC 27615(919) 846-6962(919) 841-0239 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Lee Torsone M.d. NPPES

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

DR. ANDREA LEE TORSONE M.D. (NPI 1619987716) is an individual gynecology provider in Raleigh, North Carolina, licensed in North Carolina (200100797) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1619987716
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. ANDREA LEE TORSONECredential: M.D.
Location Address700 EXPOSITION PL, STE 161Raleigh, NC 27615-1560
Mailing Address700 Exposition Pl, Ste 161Raleigh, NC 27615-1560 · (919) 846-6962 · Fax (919) 841-0239
Phone(919) 846-6962
Fax(919) 841-0239
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 12, 2013
✔ NPI 1619987716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NC · 200100797
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
700 EXPOSITION PL, Raleigh, NC 27615
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH37619NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Andrea Lee Torsone 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 ID9133182397
PECOS Enrollment IDI20041118000110
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.

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.
88 services65 patients
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.
43 services43 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
92%599 patients4/55-star benchmark: 93%
Cervical Cancer Screening
97%1,097 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
62%77 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
79%799 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%2,216 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,377 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%2,061 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 4% · 1,214 patients
4%1,214 patients
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 9

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

DEBORAH LYN LEWIS M.D.
Family Medicine
700 EXPOSITION PL, SUITE111
RALEIGH, NC 27615
Wake County (919) 845-6133
DOCTORDASH LLC
Non-emergency Medical Transport (VAN)
700 EXPOSITION PL
RALEIGH, NC 27615
Wake County (919) 390-3320
JOHN J. MARKS, MD-GYNECOLOGY PLLC
Obstetrics & Gynecology
700 EXPOSITION PL, SUITE 161
RALEIGH, NC 27615
Wake County (919) 846-6962
DONNA K GERSTNER LMBT
Massage Therapist
700 EXPOSITION PL, SUITE 171
RALEIGH, NC 27615
Wake County (919) 601-4328
CAROLINA GYNECOLOGY PA
Clinic/Center
700 EXPOSITION PL, STE 161
RALEIGH, NC 27615
Wake County (919) 846-6962
BENJAMIN BOYLES DDS PA
Dentist
700 EXPOSITION PL, SUITE #191
RALEIGH, NC 27615
Wake County (919) 847-0150
JOHN J MARKS MD
Specialist
700 EXPOSITION PL, SUITE 161
RALEIGH, NC 27615
Wake County (919) 841-0848
TINA GUPTA DDS PA
Dentist (General Practice)
700 EXPOSITION PL, STE 111
RALEIGH, NC 27615
Wake County (919) 518-0400

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 Andrea Torsone's NPI number?

The NPI number for Andrea Torsone is 1619987716. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Andrea Torsone located?

Andrea Torsone practices at 700 Exposition Pl Ste 161, Raleigh, NC 27615. The listed phone number is (919) 846-6962.

What is Andrea Torsone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Andrea Torsone enrolled in Medicare?

Yes. Andrea Torsone 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 Andrea Torsone accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Andrea Torsone 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 Andrea Torsone affiliated with any hospitals?

According to CMS data, Andrea Torsone is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Torsone was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.