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TODD D. GADDIS M. D.
NPI 1306842935
Family Medicine in Mckinney, TX

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
6956 MEDITERRANEAN DR STE 101, MCKINNEY, TX 75072(945) 888-0180(945) 888-0280 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, Dec 31, 2020 (2 updates tracked since 2020).

About Todd D. Gaddis M. D. NPPES

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

TODD D. GADDIS M. D. (NPI 1306842935) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (P3152) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306842935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD D. GADDISCredential: M. D.
Location Address6956 MEDITERRANEAN DR STE 101Mckinney, TX 75072-5574
Mailing Address6100 Oak Tree Blvd, Ste 110Independence, OH 44131-2544 · (888) 638-5714 · Fax (216) 763-3138
Phone(945) 888-0180
Fax(945) 888-0280
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 28, 2005
Last NPPES UpdateDecember 27, 20232 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1306842935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · P3152✔ Licensed in LA · MD200147
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 200147 (LA)
6956 MEDITERRANEAN DR STE 101, Mckinney, TX 75072
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Secondary Practice Locations 3

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543
Location 2433 Plaza StBogalusa, LA 70427-3729 · Phone (985) 730-6700 · Fax (985) 730-6713
Location 36100 Oak Tree Blvd, Ste 110Independence, OH 44131-2544 · Phone (888) 638-5714 · Fax (216) 763-3138

Other Identifiers 1

Other200147LA · State M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana.Insurance ›

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 D. Gaddis 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 ID8224066907
PECOS Enrollment IDI20050803000282
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 3

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.

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.
120 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Northern Louisiana Medical Center

Acute Care Hospitals · Ruston, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190086
Location401 East Vaughn AvenueRuston, LA 71270 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75072 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$16.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers40 claims40 services$85.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gaddis's NPI number?

The NPI number for Todd Gaddis is 1306842935. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Todd Gaddis located?

Todd Gaddis practices at 6956 Mediterranean Dr Ste 101, Mckinney, TX 75072. The listed phone number is (945) 888-0180.

What is Todd Gaddis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Gaddis enrolled in Medicare?

Yes. Todd Gaddis 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.

What insurance does Todd Gaddis accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and HMO Louisiana list Todd Gaddis 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 Todd Gaddis affiliated with any hospitals?

According to CMS data, Todd Gaddis is affiliated with Northern Louisiana Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Gaddis was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.