2026 NPPES data Surgery Physician NPI 1932113412 MD
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TORI MCFALL, MD

Surgery Physician in RENTON, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
88
Medicare Part D claims · 51 beneficiaries · Surgery Physician avg: 169
Industry payments
$2.0K
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TORI MCFALL, MD is a Surgery Physician ([object Object]) practicing in RENTON, Washington with a Medicare Part D prescribing footprint of 88 claims across 51 beneficiaries . Industry payments of $2.0K across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TORI MCFALL, MD filed 88 Medicare Part D claims in 2023 across RENTON, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TORI MCFALL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TORI MCFALL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/28/2006

NPI 1932113412

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

88 48% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Washington

How Surgery Physician compares to other specialties among Washington providers

Washington providers

Surgery Physician share within Washington

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TORI MCFALL, MD is a Surgery Physician provider practicing in RENTON, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1932113412. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TORI MCFALL, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 4011 TALBOT RD S, RENTON, WA, 98055, with a listed phone of (425) 656-5430. NPI 1932113412 was issued on 07/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCFALL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 88 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $601 in drug spend, with an opioid prescribing rate of 53.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4011 TALBOT RD S
RENTON, WA 98055

Provider Details

NPI 1932113412
Specialty Surgery Physician
Credentials MD
Gender Female
NPI Issued 07/28/2006

Hospital and facility affiliations

Facilities where TORI MCFALL, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MULTICARE HEALTH SYSTEM
COVINGTON, WA
VALLEY MEDICAL GROUP-RENTON
COVINGTON, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for TORI MCFALL, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

INTUITIVE SURGICAL, INC.

Most common payment type

Travel and Lodging

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to TORI MCFALL, MD. To verify TORI MCFALL, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

88
Total Claims
$601
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
88
Total Day Supply
475
Generic Drug Cost
$601
Opioid Claims
47 (53.4% rate)

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.51
Gender Split
76% female / 24% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26
Ondansetron Hcl
21

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How TORI MCFALL, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

TORI MCFALL, MD's 88 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as MCFALL.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TORI MCFALL, MD's specialty?
TORI MCFALL, MD specializes in Surgery Physician and practices in RENTON, Washington. Credentials: MD.
How much does TORI MCFALL, MD prescribe under Medicare Part D?
In 2023, TORI MCFALL, MD wrote 88 Medicare Part D claims totaling $601 in drug costs for 51 beneficiaries.
Where is TORI MCFALL, MD located?
TORI MCFALL, MD is located at 4011 TALBOT RD S, RENTON, WA, 98055. Phone: (425) 656-5430.
What is TORI MCFALL, MD's NPI number?
TORI MCFALL, MD's National Provider Identifier (NPI) is 1932113412, issued on 07/28/2006.
Does TORI MCFALL, MD prescribe opioids?
Yes, TORI MCFALL, MD had 47 opioid claims in 2023 with an opioid prescribing rate of 53.4%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does TORI MCFALL, MD prescribe most often?
Based on 2023 Medicare Part D data, TORI MCFALL, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TORI MCFALL, MD accept Medicare?
TORI MCFALL, MD appears in CMS Medicare data with 88 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TORI MCFALL, MD's credentials?
TORI MCFALL, MD's NPI is 1932113412 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology