ANTHONY REX VICTORIO M.D.
NPI 1659593606
Pathology - Anatomic Pathology & Clinical Pathology in Modesto, CA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
63.51/100
CMS Quality Rating
4301 NORTHSTAR WAY, MODESTO, CA 95356(209) 577-1200(209) 577-6517 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2021, Jun 12, 2019, Mar 11, 2019 (3 updates tracked since 2019).

About Anthony Rex Victorio M.d. NPPES

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

ANTHONY REX VICTORIO M.D. (NPI 1659593606) is an individual anatomic pathology & clinical pathology provider in Modesto, California, licensed in California (A86106) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Loma Linda University School Of Medicine (2002).

NPPES Registry Identity

NPI1659593606
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameANTHONY REX VICTORIOCredential: M.D.
Location Address4301 NORTHSTAR WAYModesto, CA 95356-9262
Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 577-1200 · Fax (209) 577-6517
Fax(209) 577-6517
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2002
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
NPI 1659593606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · A86106
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License A86106 (CA)
4301 NORTHSTAR WAY, Modesto, CA 95356

Secondary Practice Location 1

Location 14 MEDICAL PLAZA SUITE 205ROSEVILLE, CA 95661 · Phone (209) 577-1200 · Fax (209) 577-6517

Other Identifiers 1

OtherA86106CA · License

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

Anthony Rex Victorio 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 ID7618061243
PECOS Enrollment IDI20070913000395
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 37

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,238 services881 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,054 services176 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
951 services330 patients
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision G0145
This is a procedure to check for abnormal cells in the lower part of the womb or the birth canal. Cells are collected in a special fluid and prepared in a thin layer. They are then examined by an automated system and manually reviewed by a doctor for accuracy.
784 services784 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
631 services294 patients
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test G0476
This service detects high-risk types of HPV, a common virus, by analyzing DNA or RNA. It's an essential part of cervical cancer screening, performed alongside the Pap test. This dual approach enhances accuracy, aiding early detection and treatment.
355 services355 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

63.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356
Specialist
4301 NORTHSTAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 NORTHSTAR WAY
MODESTO, CA 95356

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 Anthony Victorio's NPI number?

The NPI number for Anthony Victorio is 1659593606. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Anthony Victorio located?

Anthony Victorio practices at 4301 Northstar Way, Modesto, CA 95356. The listed phone number is (209) 577-1200.

What is Anthony Victorio's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Anthony Victorio enrolled in Medicare?

Yes. Anthony Victorio 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.

When was this NPI record last updated?

The NPPES record for Anthony Victorio was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.