TODD DAVID ELMORE MD
NPI 1104854439
Psychiatry & Neurology - Neurology in Springfield, IL

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
301 N 8TH ST, SPRINGFIELD, IL 62701(217) 528-7541 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Dec 29, 2021 (2 updates tracked since 2021).

About Todd David Elmore Md NPPES

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

TODD DAVID ELMORE MD (NPI 1104854439) is an individual neurology provider in Springfield, Illinois, licensed in Illinois (036086844) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (1991).

NPPES Registry Identity

NPI1104854439
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTODD DAVID ELMORECredential: MD
Location Address301 N 8TH STSpringfield, IL 62701-1041
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1991
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1104854439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036086844
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
301 N 8TH ST, Springfield, IL 62701

Other Identifiers 1

Medicaid000036797AL

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 David Elmore 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 ID446341861
PECOS Enrollment IDI20140922001039
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 14

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.
202 services137 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.
141 services118 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
134 services126 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
98 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services67 patients

Hospital Affiliations CMS Care Compare 3

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

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.

Nurse Practitioner
301 N 8TH ST, PAV 4B
SPRINGFIELD, IL 62701
Pediatrics
301 N 8TH ST
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
301 N 8TH ST
SPRINGFIELD, IL 62701
Audiologist
301 N 8TH ST, PAV 5B
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
301 N 8TH ST
SPRINGFIELD, IL 62701
Pediatrics
301 N 8TH ST, STE PAV4A
SPRINGFIELD, IL 62701
Internal Medicine (Gastroenterology)
301 N 8TH ST
SPRINGFIELD, IL 62701
Orthopaedic Surgery
301 N 8TH ST
SPRINGFIELD, IL 62701

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 Elmore's NPI number?

The NPI number for Todd Elmore is 1104854439. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Todd Elmore located?

Todd Elmore practices at 301 N 8th St, Springfield, IL 62701. The listed phone number is (217) 528-7541.

What is Todd Elmore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Todd Elmore enrolled in Medicare?

Yes. Todd Elmore 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.

Is Todd Elmore affiliated with any hospitals?

According to CMS data, Todd Elmore is affiliated with St Johns Hospital, Decatur Memorial Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Elmore was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.