Tony Ton-That, MD
NPI 1013904259 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Lancaster, PA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tony Ton-That, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider in Lancaster, PA (NPI 1013904259).
Provider details
- NPI number
- 1013904259
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD49558 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
228 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Acupuncture With Electrical Stimulation, Initial 15 Minutes97813 | 74 | $48 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $96 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 39 | $91 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 21 | $115 |
| Acupuncture With Electrical Stimulation, Each Additional 15 Minutes97814 | 18 | $40 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$54 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 675 Good DrLancaster, PA 17601-2426Phone: (717) 406-3000Fax: (717) 394-7501
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2018-03-17
Frequently asked questions
- What is Tony Ton-That's NPI number?
- Tony Ton-That's National Provider Identifier (NPI) is 1013904259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tony Ton-That's specialty?
- Tony Ton-That is listed in the NPPES registry with a primary specialty of Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Tony Ton-That located?
- Tony Ton-That's practice location on file with NPPES is 2100 Harrisburg Pike, Lancaster, PA 17601-2644.
- What is Tony Ton-That's phone number?
- The practice phone number listed in the NPPES registry for Tony Ton-That is (717) 544-3197.
- Does Tony Ton-That accept Medicare?
- Tony Ton-That is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tony Ton-That's NPI active?
- Yes — Tony Ton-That's NPI (1013904259) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.