TODD C ZISHOLTZ MD
NPI 1386675809
Emergency Medicine in Greenville, IL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
200 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1230 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jan 31, 2022, Jan 27, 2022 and 4 more (7 updates tracked since 2018).

About Todd C Zisholtz Md NPPES

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

TODD C ZISHOLTZ MD (NPI 1386675809) is an individual emergency medicine provider in Greenville, Illinois, licensed in Guam (M-2285) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Community Hospital Of Staunton, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386675809
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTODD C ZISHOLTZCredential: MD
Location Address200 HEALTH CARE DRGreenville, IL 62246-1154
Mailing Address1040 Sierra Dr, Suite 400Greenwood, IN 46143-7240 · (317) 865-8988 · Fax (317) 859-8590
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 7, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1386675809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in GU · M-2285 Licensed in IL · 036130871 Licensed in GU · EMTL-2021-026
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License M-2285 (GU), 036130871 (IL), ME94395 (FL)
200 HEALTH CARE DR, Greenville, IL 62246

Secondary Practice Locations 2

Location 11423 Chicago RdChicago Heights, IL 60411-3400 · Phone (708) 679-2160 · Fax (708) 679-2161
Location 2422 W White StClinton, IL 61727-2272 · Phone (217) 935-9571

Other Identifiers 2

Medicaid036130871IL
OtherIL5686073IL · Medicare Ptan

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 C Zisholtz 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 ID1850391475
PECOS Enrollment IDI20130125000201
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services67 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62246 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Specialist
200 HEALTH CARE DR, STE 1501
GREENVILLE, IL 62246
Nurse Anesthetist, Certified Registered
200 HEALTH CARE DR
GREENVILLE, IL 62246
Specialist/Technologist (Athletic Trainer)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Specialist
200 HEALTH CARE DR
GREENVILLE, IL 62246
Podiatrist (Foot & Ankle Surgery)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Family Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Social Worker (Clinical)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Social Worker (Clinical)
200 HEALTH CARE DR
GREENVILLE, IL 62246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386675809, enumerated as an "individual" on July 05, 2006.

The provider is located at 200 HEALTH CARE DR GREENVILLE, IL 62246 and the phone number is (618) 664-1230.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Todd Zisholtz is affiliated with: COMMUNITY HOSPITAL OF STAUNTON.