NPIMap

Individual provider Active NPI

Tory R Peterson

  • Obstetrics & Gynecology Physician
  • Wyomissing, PA
National Provider Identifier
1336357946
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD432225 Issued in PA
Practice address
1040 Reed Ave
Wyomissing, PA 19610-2029
Phone
(610) 898-7040
Fax
(610) 376-8239
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD432225 PA Primary

Addresses

Primary practice location

1040 Reed Ave
Wyomissing, PA 19610-2029

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers 1

IdentifierTypeStateIssuer
101997515MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926001152 PA Practitioner - Obstetrics/Gynecology 8527153287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Utah School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

1040 Reed Ave
Wyomissing, PA 19610-2029
Phone (610) 898-7040

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

420 S 5TH Ave
West Reading, PA 19611-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group Past Accepting new patients
Reading Hospital Obstetrics & Gynecology Past Accepting new patients

Locations

315 Darby Sq
Elverson, PA 19520
Phone (610) 898-5240

495 W Ridge Pike
Royersford, PA 19468
Phone (610) 495-0400

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

1040 Reed Ave
Wyomissing, PA 19610
Phone (610) 898-7040

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

Interoperability endpoints

  • Direct secure messaging: tpeterson2634@direct.readinghealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1336357946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 REED AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102029",
            "telephone_number": "610-898-7040",
            "fax_number": "610-376-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TORY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD432225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101997515",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.