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GREGORY L TODD M.D.
NPI 1467474809
Obstetrics & Gynecology in Goshen, IN

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
1111 LIGHTHOUSE LN, GOSHEN, IN 46526(574) 533-0348(574) 533-0277 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2023, Feb 6, 2023 (2 updates tracked since 2023).

About Gregory L Todd M.d. NPPES

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

GREGORY L TODD M.D. (NPI 1467474809) is an individual obstetrics & gynecology provider in Goshen, Indiana, licensed in Indiana (01069009A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1467474809
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGREGORY L TODDCredential: M.D.
Location Address1111 LIGHTHOUSE LNGoshen, IN 46526-3824
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(574) 533-0348
Fax(574) 533-0277
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1994
Enumeration DateJuly 24, 2006
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1467474809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01069009A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 LIGHTHOUSE LN, Goshen, IN 46526
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Other Identifiers 1

Medicaid201006270IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Gregory L Todd 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 ID2567642382
PECOS Enrollment IDI20110211000344
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 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.
71 services29 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 7

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

SHELBY FALTYNSKI APN
Nurse Practitioner
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-8925
DR. GREG M MIELKE M.D.
Specialist
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
CATHERINE E BINGER CNM
Advanced Practice Midwife
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
DR. NICHOLAS DEFAUW DO
Family Medicine
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (260) 266-4007
MORGAN ELIZABETH DE KLEINE CNM, FNP-BC
Obstetrics & Gynecology (Gynecology)
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
BEVERLY A LOWTHER CNM
Advanced Practice Midwife
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
MRS. JENNIFER MARIE WYSONG MMS, PA-C
Physician Assistant
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348

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 Gregory Todd's NPI number?

The NPI number for Gregory Todd is 1467474809. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Gregory Todd located?

Gregory Todd practices at 1111 Lighthouse Ln, Goshen, IN 46526. The listed phone number is (574) 533-0348.

What is Gregory Todd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gregory Todd enrolled in Medicare?

Yes. Gregory Todd 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 Gregory Todd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gregory Todd 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 Gregory Todd affiliated with any hospitals?

According to CMS data, Gregory Todd is affiliated with Parkview Regional Medical Center, Goshen Hospital and Parkview Whitley Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Todd was last updated on August 25, 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.