DR. JOSHUA WEBER TODD M.D. NPI 1003017963
Internal Medicine - Interventional Cardiology in Knoxville, TN
About DR. JOSHUA WEBER TODD M.D.
Joshua Todd is an internist established in Knoxville, Tennessee and his medical specialization is Internal Medicine with a focus in interventional cardiology with more than 19 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2004. The NPI number of this provider is 1003017963 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RI0011X with license number 47160 (TN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
| NPI | 1003017963 |
| Provider Name | DR. JOSHUA WEBER TODD M.D. |
| Location Address | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 |
| Location Phone | (865) 546-5111 |
| Mailing Address | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-29-2007 |
| Last Update Date | 04-13-2016 |
An internist like Joshua Todd is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Joshua Todd is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Joshua Todd is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: administration of the ahrq survey of patient safety culture, diabetes: medical attention for nephropathy, falls: screening for future fall risk, preventive care and screening: body mass index (bmi) screening and follow-up plan and use of high-risk medications in the elderly.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RI0011X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Interventional Cardiology |
| License No. | 47160 |
| License State | TN |
| Taxonomy Description | An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1819 W CLINCH AVE
SUITE 108
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-5111
Fax: (865) 541-4018
Mailing Address
1819 W CLINCH AVE
SUITE 108
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-5111
Fax: (865) 541-4018
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 4183716749 |
| PECOS Enrollment ID | I20110809000570 |
| Accepts Medicare Assignment? | Maybe "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 89.9 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 10 | |
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The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
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The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 80.2 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Administration of the AHRQ Survey of Patient Safety Culture | Yes | N/A |
| Administration of the AHRQ Survey of Patient Safety Culture and submission of data to the comparative database (refer to AHRQ Survey of Patient Safety Culture website http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html).Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score. | ||
| Controlling High Blood Pressure | 63% | 785 |
| Percentage of patients 18-85 years of age who had a diagnosis of hypertension overlapping the measurement period and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period. | ||
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 65% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 258 |
| Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. | ||
| Diabetes: Medical Attention for Nephropathy | 91% | 258 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period. | ||
| Falls: Screening for Future Fall Risk | 100% | 815 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 45% | 1260 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 812 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 812 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 621Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
- 210Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
- 199Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
- 102Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
- 99Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
- 58Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
- 18Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 1525406 | MEDICAID (05) | TN |
| 103I063118 | MEDICARE PIN (08) | TN |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 7 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 14 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 9 + 1 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1003017963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821087628 | KNOXVILLE HEART GROUP PC Organization | Internal Medicine (Cardiovascular Disease) | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 (865) 546-5111 |
| 1699745273 | MARK W JACKSON MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1144290727 | MUHAMMED IQBAL MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1497725089 | ROBERT A POLLACK MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1730159310 | JEFFREY I BROWN MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1033150461 | JAMES B RIVERS JR. MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1922049824 | RICHARD C ROSE III MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1578504478 | ANTHONY W MORTON MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1174567598 | KELLY L BAKER MD Individual | Family Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1336183763 | JOHN F COOPER MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1194910919 | KNOXVILLE GASTROINTESTINAL SPECIALISTS, PC Organization | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1710218508 | KNOXVILLE HEART GROUP, INC. Organization | Internal Medicine (Cardiovascular Disease) | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 (865) 546-5111 |
| 1295705879 | RICHARD A COHN MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1629010749 | DR. DAVID KENT TUTOR MD Individual | General Practice | 1819 W CLINCH AVE SUITE 100 KNOXVILLE, TN 37916 (865) 524-5365 |
| 1538101209 | MRS. CAROL D CRYE NP Individual | Nurse Practitioner | 1819 W CLINCH AVE KNOXVILLE, TN 37916 (865) 541-2835 |
| 1255446175 | MR. WILLIAM STUART REID JR. MD Individual | Neurological Surgery | 1819 W CLINCH AVE SUITE 214 KNOXVILLE, TN 37916 (865) 541-2835 |
| 1588088629 | CHARLES PETERS Individual | Physical Therapist | 1819 W CLINCH AVE SUITE 106 KNOXVILLE, TN 37916 (865) 524-5365 |
| 1356326011 | DR. JOHN E B HARRISON MD Individual | Orthopaedic Surgery (Hand Surgery) | 1819 W CLINCH AVE SUITE 100 KNOXVILLE, TN 37916 (865) 524-5365 |
| 1194121723 | LORI A. WILKERSON FNP Individual | Nurse Practitioner (Family) | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1275907685 | ERIK TAYLOR FNP Individual | Nurse Practitioner (Family) | 1819 W CLINCH AVE SUITE 200 KNOXVILLE, TN 37916 (865) 524-3695 |
Frequently Asked Questions
What is Dr. Joshua Todd M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003017963, registered as an "individual" on May 29, 2007
Where is Dr. Joshua Todd M.D. located?
The provider is located at 1819 W Clinch Ave Suite 108 Knoxville, Tn 37916 and the phone number is (865) 546-5111
Which is Dr. Joshua Todd M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Interventional Cardiology
How many years of experience does Dr. Joshua Todd M.D. have?
The provider has more than 19 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2004.
What insurance does Dr. Joshua Todd M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Joshua Todd M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Joshua Todd M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences. The provider obtained a high score in the following performance measures: Diabetes: Medical Attention for Nephropathy, Falls: Screening for Future Fall Risk , Use of High-Risk Medications in the Elderly. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Dr. Joshua Todd M.D.?
Medicare beneficiaries should expect a typical cost of $126.52 with an average copayment of $31.63 for new patient appointments. Established patients should expect a typical charge of $97.84 and an average copayment of 24.46. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Joshua Todd M.D.?
The most common procedures or services performed by this practitioner are: Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report, Routine EKG using at least 12 leads including interpretation and report, Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies, Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart and Catheter insertion of stents in major coronary artery or branch, accessed through the skin.
How do I update my NPI information?
The NPI record of Dr. Joshua Todd M.D. was last updated on May 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]