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TODD K PRIDMORE CRNP
NPI 1376097113
Nurse Practitioner - Adult Health in Madison, AL

Active since August 10, 2016PECOS EnrolledAccepts Medicare Assignment
8371 HIGHWAY 72 W STE 204, MADISON, AL 35758(256) 801-5977(256) 517-5926 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2021, Aug 10, 2016 (2 updates tracked since 2016).

About Todd K Pridmore Crnp NPPES

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

TODD K PRIDMORE CRNP (NPI 1376097113) is an individual adult health provider in Madison, Alabama, licensed in Alabama (1-136010) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376097113
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTODD K PRIDMORECredential: CRNP
Location Address8371 HIGHWAY 72 W STE 204Madison, AL 35758-9505
Mailing AddressPo Box 21007Huntsville, AL 35813-5007 · (256) 801-6056 · Fax (256) 801-6221
Phone(256) 801-5977
Fax(256) 517-5926
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 10, 2016
Last NPPES UpdateMay 30, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1376097113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 1-136010
8371 HIGHWAY 72 W STE 204, Madison, AL 35758
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11874 Beltline Rd SW Ste 100Decatur, AL 35601-5514 · Phone (256) 817-5977 · Fax (256) 817-5926
Location 23500 MEMORIAL PARKWAY SWHUNTSVILLE, AL 35801-5318 · Phone (256) 213-1800 · Fax (256) 429-9186
Location 3927 Franklin St SEHuntsville, AL 35801-4306 · Phone (256) 539-2728 · Fax (256) 539-2666
Location 4550 Sun Temple DriveMadison, AL 35758 · Phone (256) 213-1800 · Fax (256) 429-9186
Location 5420 Lowell Dr SE Fl 5Huntsville, AL 35801-3754 · Phone (256) 265-5864 · Fax (256) 265-5865

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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 K Pridmore Crnp 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 ID941597512
PECOS Enrollment IDI20160926000762
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

3

Medicare enrollment records show Todd Pridmore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hh Physicians Network
11 mi
Specialist
101 SIVLEY RD SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 182 clinicians in this Medicare group
NPI 1891359683 (256) 801-6036
Sportsmed Orthopaedic Specialists
12 mi
Orthopaedic Surgery
4715 WHITESBURG DR.
Huntsville, AL 35802
  • Reassigned Medicare billing, Alabama enrollment
  • 111 clinicians in this Medicare group
NPI 1508947839 (256) 881-5151
Alabama Institute For Sleep Health, LLC
38 mi
Sleep Medicine
1803 PARK VIEW DRIVE, NE
Cullman, AL 35058
  • Reassigned Medicare billing, Alabama enrollment
  • 11 clinicians in this Medicare group
NPI 1548902299 (256) 739-7050

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 2

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 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.
99 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Pridmore's NPI number?

The NPI number for Todd Pridmore is 1376097113. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Todd Pridmore located?

Todd Pridmore practices at 8371 Highway 72 W Ste 204, Madison, AL 35758. The listed phone number is (256) 801-5977.

What is Todd Pridmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Todd Pridmore enrolled in Medicare?

Yes. Todd Pridmore 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 Pridmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Pridmore reassigns Medicare benefits to 3 organizations: Hh Physicians Network (Huntsville, AL), Sportsmed Orthopaedic Specialists (Huntsville, AL) and Alabama Institute For Sleep Health, LLC (Cullman, AL). 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 Pridmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Pridmore accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and BlueCross BlueShield of Tennessee and 1 other insurer list Todd Pridmore 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 Pridmore was last updated on May 30, 2024. 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.