TODD A. MCCALL MD
NPI 1033172200
Orthopaedic Surgery in Daytona Beach, FL

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.04/100
CMS Quality Rating
1865 LPGA BLVD, DAYTONA BEACH, FL 32117(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2024, Aug 9, 2019, Apr 26, 2018 (3 updates tracked since 2018).

About Todd A. Mccall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TODD A. MCCALL MD (NPI 1033172200) is an individual orthopaedic surgery provider in Daytona Beach, Florida, licensed in Florida (ME91561) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1033172200
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTODD A. MCCALLCredential: MD
Location Address1865 LPGA BLVDDaytona Beach, FL 32117-7108
Mailing Address1865 Lpga BlvdDaytona Beach, FL 32117-7108 · (386) 255-4596 · Fax (386) 258-3561
Fax(386) 258-3561
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2001
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1033172200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME91561
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License ME91561 (FL)
1865 LPGA BLVD, Daytona Beach, FL 32117

Secondary Practice Locations 5

Location 117 Old Kings Rd N Ste KPalm Coast, FL 32137-8283 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 21165 Dunlawton Ave Ste 102Port Orange, FL 32127-2924 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 31890 Lpga Blvd Ste 240Daytona Beach, FL 32117-7131 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 41075 Mason AveDaytona Beach, FL 32117-4611 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 51175 Dunlawton Ave Ste 1Port Orange, FL 32127-4741 · Phone (386) 255-4596 · Fax (386) 258-3561

Other Identifiers 2

Medicaid278301100FL
Medicaid023085000FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Todd A. Mccall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638274384
PECOS Enrollment IDI20080102000428
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
310 services63 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
218 services171 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
195 services151 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
118 services118 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services95 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
71 services63 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.89
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Advance Care Plan
89%958 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
44%396 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
69%197 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
67%67 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
74%2,546 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
47%689 patients2/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
23%279 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
65%1,304 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%1,632 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 930 patients
Patients screened: 98% · 930 patients
87%100 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
80%524 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
59%378 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%114 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 732 patients
Patients totalRate: 0% · 732 patients
0%732 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$42.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Orthopaedic Surgery
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Orthopaedic Surgery
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Orthopaedic Surgery
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Physical Therapist
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Physician Assistant
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Physical Therapist
1865 LPGA BLVD
DAYTONA BEACH, FL 32117
Nurse Practitioner
1865 LPGA BLVD
DAYTONA BEACH, FL 32117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Mccall's NPI number?

The NPI number for Todd Mccall is 1033172200. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Todd Mccall located?

Todd Mccall practices at 1865 Lpga Blvd, Daytona Beach, FL 32117. The listed phone number is (386) 255-4596.

What is Todd Mccall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Todd Mccall enrolled in Medicare?

Yes. Todd Mccall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Todd Mccall accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Todd Mccall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Todd Mccall affiliated with any hospitals?

According to CMS data, Todd Mccall is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Todd Mccall was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.