MR. TOD J FUSIA M.D.
NPI 1043269970
Urology in Gettysburg, PA

Q: What is Tod Fusia's NPI number?

The NPI number for Tod Fusia is 1043269970. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Q: What is Tod Fusia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Tod Fusia was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment

450 S WASHINGTON ST STE E, GETTYSBURG, PA 17325(717) 339-3150(717) 339-3149 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 26, 2025, Jan 13, 2023 (2 updates tracked since 2023).

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About Mr. Tod J Fusia M.d. NPPES

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

MR. TOD J FUSIA M.D. (NPI 1043269970) is an individual urology provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MD479968) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains a secondary practice location in Hanover.

NPPES Registry Identity

NPI1043269970

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMR. TOD J FUSIACredential: M.D.

Location Address450 S WASHINGTON ST STE EGettysburg, PA 17325-2500

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 339-3150

Fax(717) 339-3149

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateMay 8, 2006

Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration

NPPES CertifiedNovember 26, 2025

✔ NPI 1043269970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in PA · MD479968✔ Licensed in NY · 326253✔ Licensed in SC · 89046✔ Licensed in FL · ME71010

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

450 S WASHINGTON ST STE E, Gettysburg, PA 17325

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Secondary Practice Location 1

Location 11227 Baltimore StHanover, PA 17331-4406 · Phone (717) 339-3150 · Fax (717) 339-3149

Other Identifiers 1

Medicaid255128400FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Tod J Fusia M.d. 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 ID1759304769

PECOS Enrollment IDI20241024001053, I20251016001073, I20251222000028

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.

Medicare Billing Reassignments

Medicare enrollment records show Tod Fusia reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bayhealth Medical Center, Inc

102 mi

Cardiovascular Disease

560 S GOVERNORS AVE
Dover, DE 19904

Reassigned Medicare billing, Delaware enrollment
Also billed through NPI 1407615388 (Delaware), NPI 1356808208 (Delaware)
163 clinicians in this Medicare group

NPI 1588456479 (302) 744-7113

Atlantic Coast Urology,pa

171 mi

Urology

1944 STATE ROUTE 33, SUITE 101
Neptune, NJ 07753

Reassigned Medicare billing, New Jersey enrollment
18 clinicians in this Medicare group

NPI 1265635627 (732) 775-8444

United Health Services Hospitals, Inc.

171 mi

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

Musc Community Physicians

496 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

Carle Health Medical Group

583 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Florida Urology Partners, LLP

872 mi

Urology

5015 W NASSAU ST
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
66 clinicians in this Medicare group

NPI 1447401955 (813) 356-0196

Acute Care Surgery Of South Dakota PC

1,366 mi

Orthopaedic Surgery

1635 CAREGIVER CIR
Rapid City, SD 57702

Reassigned Medicare billing, Illinois enrollment
40 clinicians in this Medicare group

NPI 1730797184 (916) 441-0400

Confermed Of California PC

2,274 mi

Internal Medicine

101 ACADEMY STE 100
Irvine, CA 92617

Reassigned Medicare billing, California enrollment
118 clinicians in this Medicare group

NPI 1316584709 (860) 323-0172

Telehealth Specialty Medical Group

2,336 mi

Emergency Medicine

3400 DOUGLAS BLVD STE 225
Roseville, CA 95661

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Telemedicine Group PC
205 clinicians in this Medicare group

NPI 1326338237 (916) 740-3721

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.

203 services111 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

161 services99 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

116 services98 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

39 services28 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

25 services18 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

25 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

22 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services14 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.

13 services13 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

12 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331312

Location1 Titus PlaceWalton, NY 13856 · Delaware County

Emergency services

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420036

Location800 W Meeting StLancaster, SC 29720 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17325 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

4 suppliers22 claims4,060 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

6 suppliers70 claims11,500 services$1.72 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 3

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

CHRISTINA FUNKHOUSER CRNP

Nurse Practitioner (Acute Care)

450 S WASHINGTON ST STE E
GETTYSBURG, PA 17325

Adams County (717) 339-3150

EMALEE GRACE KELLISON PA-C

Physician Assistant

450 S WASHINGTON ST STE E
GETTYSBURG, PA 17325

Adams County (717) 339-3150

MRS. ERIN WEBB N.P.

Nurse Practitioner (Family)

450 S WASHINGTON ST STE E
GETTYSBURG, PA 17325

Adams County (717) 339-3150

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 Tod Fusia's NPI number?

The NPI number for Tod Fusia is 1043269970. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Tod Fusia located?

Tod Fusia practices at 450 S Washington St Ste E, Gettysburg, PA 17325. The listed phone number is (717) 339-3150.

What is Tod Fusia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tod Fusia enrolled in Medicare?

Yes. Tod Fusia 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.

Which organizations bill Medicare for Tod Fusia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tod Fusia reassigns Medicare benefits to 9 organizations: Bayhealth Medical Center, Inc (Dover, DE), Atlantic Coast Urology,pa (Neptune, NJ), United Health Services Hospitals, Inc. (Johnson City, NY), Musc Community Physicians (Bamberg, SC), Carle Health Medical Group (Urbana, IL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tod Fusia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tod Fusia affiliated with any hospitals?

According to CMS data, Tod Fusia is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, United Health Services Hospitals, Inc, Delaware Valley Hospital, Inc and Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Tod Fusia was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.