1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Orthopaedic Surgery
  6. NPI Profile

DR. TOD NORTHRUP D.O.
NPI 1386622496
Orthopaedic Surgery - Sports Medicine in St Augustine, FL

Active since January 09, 2006PECOS Enrolled
87.63/100
CMS Quality Rating
475 W TOWN PL STE 106, ST AUGUSTINE, FL 32092(904) 466-1197(904) 823-8967 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jan 21, 2019, Oct 2, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Tod Northrup D.o. NPPES

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

DR. TOD NORTHRUP D.O. (NPI 1386622496) is an individual sports medicine provider in St Augustine, Florida, licensed in Florida (OS7217) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains a secondary practice location in St Augustine.

NPPES Registry Identity

NPI1386622496
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. TOD NORTHRUPCredential: D.O.
Location Address475 W TOWN PL STE 106St Augustine, FL 32092-3648
Mailing AddressPo Box 4389St Augustine, FL 32085-4389 · (904) 466-1197 · Fax (904) 823-8967
Phone(904) 466-1197
Fax(904) 823-8967
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1990
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJune 11, 20195 updates tracked since enumeration
✔ NPI 1386622496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · OS7217
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
475 W TOWN PL STE 106, St Augustine, FL 32092
Open in Google Maps ↗

Secondary Practice Location 1

Location 1150 Southpark Blvd Ste 102St Augustine, FL 32086-5122 · Phone (904) 466-1197 · Fax (904) 823-8967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tod Northrup D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406990993
PECOS Enrollment IDI20100222000785
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 7

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.
91 services49 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.
48 services30 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.
29 services19 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
29 services18 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.
28 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services25 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier57 claims58 services$67.52 avg. paid by Medicare
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier16 claims16 services$668.63 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$109.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ORTHONORTHRUP PA
Orthopaedic Surgery (Sports Medicine)
475 W TOWN PL STE 106
ST AUGUSTINE, FL 32092
St. Johns County (904) 466-1179

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 Tod Northrup's NPI number?

The NPI number for Tod Northrup is 1386622496. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Tod Northrup located?

Tod Northrup practices at 475 W Town Pl Ste 106, St Augustine, FL 32092. The listed phone number is (904) 466-1197.

What is Tod Northrup's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Tod Northrup enrolled in Medicare?

Yes. Tod Northrup is registered in the Medicare PECOS enrollment system.

What insurance does Tod Northrup accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tod Northrup 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 Tod Northrup affiliated with any hospitals?

According to CMS data, Tod Northrup is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Tod Northrup was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.