PLAMEN P TODOROW MD
NPI 1497736045
Psychiatry & Neurology - Neurology in Blaine, MN

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
11091 ULYSSES ST NE STE 100, BLAINE, MN 55434(612) 879-1000(612) 879-9116 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2025, Dec 19, 2018, Nov 9, 2018 (3 updates tracked since 2018).

About Plamen P Todorow Md NPPES

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

PLAMEN P TODOROW MD (NPI 1497736045) is an individual neurology provider in Blaine, Minnesota, licensed in Minnesota (53763) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1497736045
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePLAMEN P TODOROWCredential: MD
Location Address11091 ULYSSES ST NE STE 100Blaine, MN 55434-4238
Mailing Address3601 Minneosta Drive, Suite 200Bloomington, MN 55435-5202 · (612) 879-1000 · Fax (612) 879-9116
Fax(612) 879-9116
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 10, 2005
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1497736045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MN · 53763
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
11091 ULYSSES ST NE STE 100, Blaine, MN 55434

Secondary Practice Locations 3

Location 12855 Campus Dr Ste 570Plymouth, MN 55441-2688 · Phone (612) 879-1000 · Fax (612) 879-9116
Location 28515 Eagle Point Blvd Ste 100Lake Elmo, MN 55042-8624 · Phone (612) 879-1000 · Fax (612) 879-9116
Location 33601 Minneosta Drive, Suite 200Bloomington, MN 55435-5202 · Phone (612) 879-1000 · Fax (612) 879-9116

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

Plamen P Todorow 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 ID143254755
PECOS Enrollment IDI20090306000092
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 Plamen Todorow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
3601 MINNESOTA DR STE 200
Bloomington, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 144 clinicians in this Medicare group
Multi-Specialty
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 384 clinicians in this Medicare group
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55434 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 4

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

Physician Assistant
11091 ULYSSES ST NE STE 100
BLAINE, MN 55434
Psychiatry & Neurology (Sleep Medicine)
11091 ULYSSES ST NE STE 100
BLAINE, MN 55434
Physician Assistant
11091 ULYSSES ST NE STE 100
BLAINE, MN 55434
Clinical Medical Laboratory
11091 ULYSSES ST NE STE 100
BLAINE, MN 55434

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 Plamen Todorow's NPI number?

The NPI number for Plamen Todorow is 1497736045. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Plamen Todorow located?

Plamen Todorow practices at 11091 Ulysses St NE Ste 100, Blaine, MN 55434. The listed phone number is (612) 879-1000.

What is Plamen Todorow's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Plamen Todorow enrolled in Medicare?

Yes. Plamen Todorow 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 Plamen Todorow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Plamen Todorow reassigns Medicare benefits to 3 organizations: Noran Neurological Clinic P.A. (Bloomington, MN), Adventist Health System Georgia Inc (Calhoun, GA) and Northeast Georgia Physicians Group Inc (Gainesville, GA). 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 Plamen Todorow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Plamen Todorow was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.