DR. MICHAEL ANTHONY TODORA MD
NPI 1063465920
Radiology - Diagnostic Radiology in Edina, MN
About Dr. Michael Anthony Todora Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ANTHONY TODORA MD (NPI 1063465920) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Texas (L5930) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Fort Worth.
NPPES Registry Identity
Specialties & Licenses 7
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Dr. Michael Anthony Todora 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.
Medicare Billing Reassignments
11Medicare enrollment records show Michael Todora reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Virtual Radiologic Professionals Of Texas I, PA
- 53 clinicians in this Medicare group
Rock Island, IL 61201
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Advanced Radiology Sc
- 5 clinicians in this Medicare group
Macomb, IL 61455
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois and Texas enrollments
- 228 clinicians in this Medicare group
Newton, IL 62448
- Reassigned Medicare billing, Illinois enrollment
- 145 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 144 clinicians in this Medicare group
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas enrollment
- 445 clinicians in this Medicare group
Lufkin, TX 75904
- Reassigned Medicare billing, Texas enrollment
- 151 clinicians in this Medicare group
Shenandoah, TX 77380
- Reassigned Medicare billing, Texas enrollment
- 1,278 clinicians in this Medicare group
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 15
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILKing's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYTristar Greenview Regional Hospital
Acute Care Hospitals · Bowling Green, KYLake Cumberland Regional Hospital
Acute Care Hospitals · Somerset, KYMedical Center Hospital
Acute Care Hospitals · Odessa, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
EDINA, MN 55435
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 Michael Todora's NPI number?
The NPI number for Michael Todora is 1063465920. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Michael Todora located?
Michael Todora practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.
What is Michael Todora's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Michael Todora enrolled in Medicare?
Yes. Michael Todora 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 Michael Todora's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Todora reassigns Medicare benefits to 11 organizations: Virtual Radiologic Professionals Of Texas I, P.A. (Edina, MN), Advanced Radiology, S.C. (Rock Island, IL), Remlo (Macomb, IL), Specialists In Medical Imaging Sc (Olympia Fields, IL), Crawford Hospital District (Newton, IL) and 6 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 Michael Todora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Todora accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, CareSource and UnitedHealthcare list Michael Todora 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 Michael Todora affiliated with any hospitals?
According to CMS data, Michael Todora is affiliated with Sarah Bush Lincoln Health Center, King's Daughters' Medical Center, Tristar Greenview Regional Hospital, Lake Cumberland Regional Hospital and Medical Center Hospital.
When was this NPI record last updated?
The NPPES record for Michael Todora was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.