TORI ANNE EDMISTON (MD) – Sports Medicine (Family Medicine) Physician, NPI 1083107072

TORI ANNE EDMISTON (MD) is a healthcare provider. based in Reno, Nevada. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 22857 (NV). The NPI Number for TORI ANNE EDMISTON (MD) is 1083107072

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TORI ANNE EDMISTON (MD)
NPI
1083107072
Phone
(775) 982-5262
Address
1155 MILL ST # MSM14
Enumeration Date
13 June 2018
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7759825000
Graduation Year
2016 (10 years ago)
PAC ID
9032463633
Group Practice PAC ID
0244139798
Professional Enrollment ID
I20221102003041
Address ID
NV895233527RE1595XDRXX301
Telehealth
Yes

Contacts

Secure Messaging
tedmiston191627@Direct.renown.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

48 SPORTS MEDICINE in NV

Provider Addresses for TORI ANNE EDMISTON (MD)

  • 1155 MILL ST # MSM14

    RENO, NV 895021576

    Phone: (775) 982-5262

    Fax: (775) 982-3900

    Type: Mailing

  • 101 E Stadium Way

    Reno, NV 895570001

    Phone: (775) 982-1000

    Fax: (775) 982-8045

    Type: Location

  • 1460, North Center Road, Burton, Genesee County, Michigan, 48509, United States

    BURTON, MI 485091429

    Phone:

    Type: Mailing

  • 1775 BALLARD RD

    PARK RIDGE, IL 600681005

    Phone:

    Type: Mailing

  • 1595 ROBB DR STE 2

    RENO, NV 895233527

    Phone: (775) 982-5000

    Fax: (775) 982-3900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-03-08 • Largest payer in this snapshot: TRICE MEDICAL, INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
TRICE MEDICAL, INC.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221102003041ISports MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg679101$0
99203New patient office or other outpatient visit, 30-44 minutes336333$0
99213Established patient office or other outpatient visit, 20-29 minutes291182$0
20610Aspiration and/or injection of fluid from large joint138102$0
73564X-ray of knee, 4 or more views8770$0
View full utilization report →

Insurance plans in this area (ZIP 89502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244139798View full group profile
NameSpecialtyState
Family Practice, Sports MedicineNV
Family PracticeNV
Family PracticeNV
-NV
Nurse PractitionerNV
-NV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for TORI ANNE EDMISTON (MD)?
TORI ANNE EDMISTON (MD) — NPI 1083107072 — is the standard way to identify this listing.
Does CMS list TORI ANNE EDMISTON (MD) as active?
Yes — TORI ANNE EDMISTON (MD) is active in the NPI listing used on this page.
What healthcare role does TORI ANNE EDMISTON (MD) hold?
Scheduling teams often label TORI ANNE EDMISTON (MD) under Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is TORI ANNE EDMISTON (MD) based?
TORI ANNE EDMISTON (MD) is tied to Reno, Nevada in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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