Active NPI 1932113412 Individual Practitioner Female Practitioner

Dr. Tori Mcfall , MD

Surgery • Renton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tori Mcfall, MD is a certified Surgery practicing in Renton, WA. With approximately 40 years of clinical experience since graduating from University Of Utah School Of Medicine in 1986, Dr. Mcfall delivers high-quality medical care to the local community at 4011 TALBOT RD S.

Dr. Mcfall maintains professional affiliations with Multicare Health System, Valley Medical Group-Renton and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, partial removal of breast, biopsy or removal of lymph nodes of under the arm, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4011 Talbot Rd S
Ste 420

Renton, WA 980555773

Telephone 4256565430

Associated Practice Facility / Clinic

🏢 Springbrook Urologic Associates, Inc Facility NPI 1235199720

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Renton, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +15.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

17 Specialists

Practicing in Renton, WA (818 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcfall (40 Years) 40 Yrs

Renton Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$246.42	$116.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$396.84	$140.00
19301 Partial removal of breast	16	15	$1945.00	$791.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19301 Partial removal of breast	22	20	$1635.00	$708.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$278.00	$125.08
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	13	$1104.00	$224.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$424.00	$143.61
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$193.00	$81.74
38900 Lymph node imaging during surgery	13	12	$342.00	$133.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$278.00	$120.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$424.00	$145.98
76937 Ultrasonic guidance for blood vessel access	12	12	$38.00	$14.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$48.00	$19.76
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3202.00	$346.37
19301 Partial removal of breast	11	11	$1635.00	$726.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$278.00	$119.93
19301 Partial removal of breast	14	14	$1635.00	$714.62
38900 Lymph node imaging during surgery	14	14	$354.21	$153.43
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1104.00	$244.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3202.00	$332.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$424.00	$148.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19301 Partial removal of breast	26	23	$1635.00	$688.93
38900 Lymph node imaging during surgery	23	23	$349.43	$150.15
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1133.05	$241.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$278.00	$115.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$424.00	$140.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$278.00	$114.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3202.00	$349.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19301 Partial removal of breast	26	25	$1584.69	$684.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$278.00	$110.33
38900 Lymph node imaging during surgery	25	25	$342.00	$149.72
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$189.00	$80.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$424.00	$178.96
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$1104.00	$243.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$424.00	$138.12
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$193.00	$79.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$278.00	$116.75
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$189.00	$74.01
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$193.00	$81.65
38900 Lymph node imaging during surgery	20	20	$342.00	$142.03
19301 Partial removal of breast	20	19	$1635.00	$639.92
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1104.00	$247.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$278.00	$80.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$278.00	$112.98
19301 Partial removal of breast	24	21	$1635.00	$664.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$189.00	$75.64
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$1104.00	$232.40
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$193.00	$80.42
38900 Lymph node imaging during surgery	18	18	$342.00	$142.68
19125 Removal of breast growth, open procedure	15	15	$1395.00	$455.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$278.00	$74.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$278.00	$114.99

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00028862

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1071182 (WA)

Hospital & Practice Group Affiliations

Valley Medical Group-Renton

16850 Se 272nd St, Covington, WA 980424931

Multicare Health System

222 State Ave N, Kent, WA 980304544

Phone: 2533727788

Multicare Health System

17700 Se 272nd St, Covington, WA 980424951

Phone: 2533727030

Valley Medical Group-Renton

400 S 43rd St, Renton, WA 980555714

Phone: 4252283450

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Ivan Zamora , MD

Surgery

NPI 1720091465

Doctor of Medicine (M.D.)

Dr. Trisha Unger , MD

Surgery

NPI 1790833408

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2008

Registered at 4011 TALBOT RD S, STE 420, RENTON, WA 980555773 (Tel: 4256565430)

📍

Updated Business Mailing Address January 21, 2008

Registered at 3600 LIND AVE SW, STE 100, RENTON, WA 980554934 (Tel: 4256565412)

👤

Provider Name / Credentials Updated January 21, 2008

Recorded as TORI MCFALL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2008

Surgery (License #MD00028862 in WA)

🟢

Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932113412

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2006

Last Update: January 21, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3600 Lind Ave Sw, Ste 100

Renton, WA 980554934

Phone: 4256565412

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.