ELAINE TODD M.D
NPI 1093005464
Emergency Medicine in Zanesville, OH

Q: What is Elaine Todd's NPI number?

The NPI number for Elaine Todd is 1093005464. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Q: What is Elaine Todd's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Todd was last updated on August 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 April 19, 2011PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

2951 MAPLE AVE, ZANESVILLE, OH 43701(740) 454-4215 Get Directions Write a Review

NPPES record last updated: August 14, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elaine Todd M.d NPPES

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

ELAINE TODD M.D (NPI 1093005464) is an individual emergency medicine provider in Zanesville, Ohio, licensed in Ohio (35.128911) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Duke University School Of Medicine (2011).

NPPES Registry Identity

NPI1093005464

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameELAINE TODDCredential: M.D

Location Address2951 MAPLE AVEZanesville, OH 43701-1406

Mailing Address2951 Maple AveZanesville, OH 43701-1406 · (740) 454-4215

Phone(740) 454-4215

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2011

Enumeration DateApril 19, 2011

Last NPPES UpdateAugust 14, 2016

✔ NPI 1093005464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 35.128911

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2951 MAPLE AVE, Zanesville, OH 43701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Elaine Todd 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 ID1355645268

PECOS Enrollment IDI20160922000565

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 Reassignment

Medicare enrollment records show Elaine Todd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Emergency Physicians LLC

Same address

Emergency Medicine

2951 MAPLE AVE
Zanesville, OH 43701

Reassigned Medicare billing, Ohio enrollment
53 clinicians in this Medicare group

NPI 1275773301 (740) 455-4932

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

193 services183 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

193 services188 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

165 services160 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360039

Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

HANNAH MARIE BUGGLIN

Nurse Practitioner (Family)