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KAREN GROSSMANN TODD MD
NPI 1285671883
Pediatrics in Raleigh, NC

Active since June 01, 2006PECOS Enrolled
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 235-6505(919) 350-8147 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Grossmann Todd Md NPPES

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

KAREN GROSSMANN TODD MD (NPI 1285671883) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (0095-00463) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285671883
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN GROSSMANN TODDCredential: MD
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-8991 · Fax (919) 350-7687
Phone(919) 235-6505
Fax(919) 350-8147
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1285671883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 0095-00463
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3024 NEW BERN AVE, Raleigh, NC 27610
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Other Identifiers 2

Medicaid8983566NC
Other83566NC · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Grossmann Todd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Karen Todd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Specialty Physicians LLC
0.1 mi
Family Medicine
3020 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 213 clinicians in this Medicare group
NPI 1407267347 (919) 350-8284

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

VALERIE J RINEHAMMER PNP
Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7846
WAKEMED FACULTY PRACTICE PLAN
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. KAREN NEFF CHILTON M.D.
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Wake County (919) 350-8493
DR. SAMER TAJ-ELDIN M.D.
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7270
VIRGINIA GRACE CATES PA-C
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-5318
MS. KAYLA ANNE CADDEN PA-C
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7331
DON M. ARMSTRONG MD
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7084
KATHLEEN A ROWE NP
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610
Wake County (919) 350-8729

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 Karen Todd's NPI number?

The NPI number for Karen Todd is 1285671883. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Karen Todd located?

Karen Todd practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 235-6505.

What is Karen Todd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Todd enrolled in Medicare?

Yes. Karen Todd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Todd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Todd reassigns Medicare benefits to Wake Specialty Physicians LLC (Raleigh, NC). The 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 Karen Todd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Todd accept?

Health plans from Blue Cross and Blue Shield of NC list Karen Todd 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 Karen Todd was last updated on December 21, 2022. 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.