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DR. TODD ALAN THACKER DO
NPI 1528031747
Family Medicine in Austin, TX

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
1705 E 11TH ST, AUSTIN, TX 78702(512) 978-8400(512) 901-9785 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2018, Nov 19, 2017, Feb 2, 2016 (3 updates tracked since 2016).

About Dr. Todd Alan Thacker Do NPPES

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

DR. TODD ALAN THACKER DO (NPI 1528031747) is an individual family medicine provider in Austin, Texas, licensed in Texas (J9383) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1528031747
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TODD ALAN THACKERCredential: DO
Location Address1705 E 11TH STAustin, TX 78702-2709
Mailing Address1705 E 11th StAustin, TX 78702-2709 · (512) 978-8400
Phone(512) 978-8400
Fax(512) 901-9785
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 8, 2006
Last NPPES UpdateFebruary 12, 20183 updates tracked since enumeration
✔ NPI 1528031747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · J9383✔ Licensed in HI · DOS-1710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1705 E 11TH ST, Austin, TX 78702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, UnitedHealthcare.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 Alan Thacker Do 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 ID749276202
PECOS Enrollment IDI20100610000796
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

2

Medicare enrollment records show Todd Thacker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vmd Primary Providers Of South Central Texas PLLC
2.7 mi
Family Medicine
720 W 34TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1790318566 (512) 988-5355
Providence Health Alliance
91 mi
Specialist
6901 MEDICAL PKWY
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 176 clinicians in this Medicare group
NPI 1932210838 (254) 751-4061

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78702 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 10

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

MS. AVERY RENE PEREZ
Social Worker (Clinical)
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
CHANTA GOSBY LCSW
Social Worker (Clinical)
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
MEETA BHALLA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
SYDNEY GREENBERG FNP, APRN
Nurse Practitioner (Family)
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
DR. ALBERTO CANTUA MD
Family Medicine
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
MRS. MARY NICOLE EVERHART PA
Physician Assistant
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400
DR. KHOLA H DAR M.D.
Family Medicine
1705 E 11TH ST
AUSTIN, TX 78702
Travis County (512) 978-8400

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 Thacker's NPI number?

The NPI number for Todd Thacker is 1528031747. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Todd Thacker located?

Todd Thacker practices at 1705 E 11th St, Austin, TX 78702. The listed phone number is (512) 978-8400.

What is Todd Thacker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Thacker enrolled in Medicare?

Yes. Todd Thacker 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 Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Thacker reassigns Medicare benefits to 2 organizations: Vmd Primary Providers Of South Central Texas PLLC (Austin, TX) and Providence Health Alliance (Waco, TX). 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 Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Thacker accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and UnitedHealthcare list Todd Thacker 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 Thacker affiliated with any hospitals?

According to CMS data, Todd Thacker is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Todd Thacker was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.