TODD J SCARBROUGH MD
NPI 1194700625
Radiology - Therapeutic Radiology in Knoxville, TN

Q: What is Todd Scarbrough's NPI number?

The NPI number for Todd Scarbrough is 1194700625. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Todd Scarbrough's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Q: When was this NPI record last updated?

The NPPES record for Todd Scarbrough was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 07, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

6450 KINGSTON PIKE STE 2, KNOXVILLE, TN 37919(865) 999-5988 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2026, Aug 4, 2026, Jan 21, 2026 (3 updates tracked since 2026).

On this page

About Todd J Scarbrough Md NPPES

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

TODD J SCARBROUGH MD (NPI 1194700625) is an individual therapeutic radiology provider in Knoxville, Tennessee, licensed in Tennessee (50557) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Surprise, and is a graduate of East Tennessee State University Quillen College Of Medicine (1998).

NPPES Registry Identity

NPI1194700625

Entity TypeIndividualMale

Primary Taxonomy2085R0203X

Provider Legal NameTODD J SCARBROUGHCredential: MD

Location Address6450 KINGSTON PIKE STE 2Knoxville, TN 37919-4833

Mailing Address6450 Kingston PikeKnoxville, TN 37919-4833 · (270) 231-6269 · Fax (256) 235-5104

Phone(865) 999-5988

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1998

Enumeration DateDecember 7, 2005

Last NPPES UpdateAugust 22, 20263 updates tracked since enumeration

NPPES CertifiedAugust 22, 2026

✔ NPI 1194700625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0203X

License✔ Licensed in TN · 50557

Definition

Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License ME87407 (FL), 43369 (KY)

6450 KINGSTON PIKE STE 2, Knoxville, TN 37919

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Secondary Practice Location 1

Location 112329 W Bola Dr Ste 100Surprise, AZ 85378-9001 · Phone (623) 270-7441 · Fax (623) 270-7442

Other Identifiers 3

Medicaid7100113330KY

Medicaid154364AL

Medicaid266726600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Todd J Scarbrough 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 ID6406869916

PECOS Enrollment IDI20200102000873, I20250424002912

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 Todd Scarbrough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jsphymgmt PC

Same address

Therapeutic Radiology

6450 KINGSTON PIKE
Knoxville, TN 37919

Reassigned Medicare billing, Tennessee enrollment
3 clinicians in this Medicare group

NPI 1295371409 (844) 433-5390

Heelex 2 LLC

1,613 mi

Therapeutic Radiology

12329 W. BOLA DRIVE
Surprise, AZ 85378

Reassigned Medicare billing, Arizona enrollment
3 clinicians in this Medicare group

NPI 1215794094 (865) 999-5898

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 21

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.

Superficial and/or low voltage radiation treatment delivery 77401

Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.

3,123 services326 patients

Special radiation therapy planning 77331

Special radiation therapy planning is a process to determine the most effective way to deliver radiation treatment. It involves imaging studies to map your body's internal structure, which helps in targeting the exact area needing treatment while sparing healthy tissues.

2,793 services314 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.

1,828 services337 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

1,767 services336 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

1,027 services324 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

883 services271 patients

Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas 77285

This procedure involves collecting necessary information to create the best radiation treatment plan for two distinct areas. Advanced imaging techniques are used to map the areas, ensuring precise targeting during treatment, minimizing harm to healthy tissues.

363 services254 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

179 services171 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

117 services94 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

110 services110 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

79 services65 patients

Special medical radiation therapy consultation 77370

A special medical radiation therapy consultation involves discussing the use of high-energy radiation to treat diseases, primarily cancer. It's a chance to understand the process, potential side effects, and benefits. It is a key step in planning your treatment.

78 services64 patients

Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev G6003

Radiation treatment involves directing high-energy waves at a specific area of the body to destroy cancer cells. In this process, a single treatment area is targeted, using either a single port or parallel opposed ports. Simple blocks or no blocks are used to protect healthy tissue. The energy level used is up to 5 MeV (million electron volts).

59 services11 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

41 services28 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

39 services25 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

22 services21 patients

Complex radiation therapy planning for delivery of external radiation 77307

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

22 services21 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

16 services13 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

15 services12 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

14 services13 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

14 services13 patients

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 as part of a group practice

Other Providers at the Same Location NPPES

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

ADDISON WYCKOFF PA-C

Physician Assistant

6450 KINGSTON PIKE STE 2
KNOXVILLE, TN 37919

Knox County (865) 999-5988

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 Scarbrough's NPI number?

The NPI number for Todd Scarbrough is 1194700625. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Todd Scarbrough located?

Todd Scarbrough practices at 6450 Kingston Pike Ste 2, Knoxville, TN 37919. The listed phone number is (865) 999-5988.

What is Todd Scarbrough's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Todd Scarbrough enrolled in Medicare?

Yes. Todd Scarbrough 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 Todd Scarbrough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Scarbrough reassigns Medicare benefits to 2 organizations: Jsphymgmt PC (Knoxville, TN) and Heelex 2 LLC (Surprise, AZ). 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 Todd Scarbrough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Scarbrough accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Todd Scarbrough 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.

When was this NPI record last updated?

The NPPES record for Todd Scarbrough was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.