DR. TODD E DUGGAN MD
NPI 1457380149
Internal Medicine - Critical Care Medicine in Princeton, WV
About Dr. Todd E Duggan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TODD E DUGGAN MD (NPI 1457380149) is an individual critical care medicine provider in Princeton, West Virginia, licensed in New Hampshire (18951) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and maintains a secondary practice location in Keene.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Dr. Todd E Duggan 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.
Medicare Billing Reassignments
9Medicare enrollment records show Todd Duggan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, WV 24740
- Reassigned Medicare billing, West Virginia enrollment
- 280 clinicians in this Medicare group
Smithfield, PA 15478
- Reassigned Medicare billing, Pennsylvania enrollment
- 398 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 clinicians in this Medicare group
Wilmington, DE 19805
- Reassigned Medicare billing, Delaware enrollment
- 48 clinicians in this Medicare group
Brattleboro, VT 05301
- Reassigned Medicare billing, Vermont enrollment
- 101 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 450 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire and Vermont enrollments
- Also billed through NPI 1548210198 (Vermont)
- 2,999 clinicians in this Medicare group
Rutland, VT 05701
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1083678833 (Vermont)
- 76 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uniontown Hospital
Acute Care Hospitals · Uniontown, PAAvera St Lukes
Acute Care Hospitals · Aberdeen, SDWest Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 26
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Duggan's NPI number?
The NPI number for Todd Duggan is 1457380149. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Todd Duggan located?
Todd Duggan practices at 112 12th St, Princeton, WV 24740. The listed phone number is (304) 487-7000.
What is Todd Duggan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Todd Duggan enrolled in Medicare?
Yes. Todd Duggan 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 Duggan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Duggan reassigns Medicare benefits to 9 organizations: Princeton Community Hospital Assn Inc. (Princeton, WV), Fayette Physician Network Inc (Smithfield, PA), Tidalhealth Specialty Care, LLC (Salisbury, MD), Hospitalist Medicine Physicians Of Delaware, PA (Wilmington, DE), Brattleboro Memorial Hospital (Brattleboro, VT) and 4 more organizations, listed in the Medicare section above. 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 Duggan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Todd Duggan accept?
Health plans from CareSource, Taro Health and Wellmark of South Dakota, Inc. list Todd Duggan 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 Duggan affiliated with any hospitals?
According to CMS data, Todd Duggan is affiliated with Uniontown Hospital, Avera St Lukes and West Virginia University Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for Todd Duggan was last updated on July 21, 2023. 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.
# Dr. Todd E Duggan, MD · NPI 1457380149
Critical Care Medicine physician in Princeton, West Virginia. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1457380149 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 18951 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 12TH ST, Princeton, WV 24740-2312
- **Phone:** (304) 487-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Princeton Community Hospital Assn Inc. (NPI 1093917643, Princeton, WV); Fayette Physician Network Inc (NPI 1588066765, Smithfield, PA); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD); Hospitalist Medicine Physicians Of Delaware, PA (NPI 1780951814, Wilmington, DE); Brattleboro Memorial Hospital (NPI 1306849708, Brattleboro, VT); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 21, 2023
- **Other identifiers:** Medicaid 3112905 (NH); Medicaid 1033007 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1457380149) · Data from the CMS NPPES public registry.