DR. JOHN LEE TODD M.D.
NPI 1528055142
Specialist in Daphne, AL

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1505 DAPHNE AVE, DAPHNE, AL 36526(251) 625-2663(251) 625-3198 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Lee Todd M.d. NPPES

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

DR. JOHN LEE TODD M.D. (NPI 1528055142) is an individual specialist in Daphne, Alabama, licensed in Alabama (AL17120) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1988).

NPPES Registry Identity

NPI1528055142
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN LEE TODDCredential: M.D.
Location Address1505 DAPHNE AVEDaphne, AL 36526-4298
Mailing Address1505 Daphne AveDaphne, AL 36526-4298 · (251) 625-2663 · Fax (251) 625-3198
Fax(251) 625-3198
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1988
Enumeration DateSeptember 29, 2005
Last NPPES UpdateDecember 5, 2012
NPI 1528055142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AL · AL17120
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1505 DAPHNE AVE, Daphne, AL 36526

Other Identifiers 5

Other51506024AL · Bcbs
Medicare ID-Type Unspecified51551243AL
Medicaid051551243AL
Medicare PIN051551243AL
Medicare UPINF60458AL

Accepted 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

Dr. John Lee 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 ID345203303
PECOS Enrollment IDI20100105000022
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
959 services188 patients
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.
665 services327 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
576 services13 patients
X-ray of shoulder blade 73010
An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.
320 services202 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
257 services194 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
124 services97 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$99.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology (Pain Medicine)
1505 DAPHNE AVE
DAPHNE, AL 36526
Family Medicine (Sports Medicine)
1505 DAPHNE AVE
DAPHNE, AL 36526
Nurse Practitioner
1505 DAPHNE AVE
DAPHNE, AL 36526
Physician Assistant
1505 DAPHNE AVE
DAPHNE, AL 36526
Physician Assistant
1505 DAPHNE AVE
DAPHNE, AL 36526
Physical Therapist
1505 DAPHNE AVE
DAPHNE, AL 36526
Occupational Therapist
1505 DAPHNE AVE
DAPHNE, AL 36526
Specialist
1505 DAPHNE AVE
DAPHNE, AL 36526

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 John Todd's NPI number?

The NPI number for John Todd is 1528055142. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is John Todd located?

John Todd practices at 1505 Daphne Ave, Daphne, AL 36526. The listed phone number is (251) 625-2663.

What is John Todd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Todd enrolled in Medicare?

Yes. John 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 John Todd accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John 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.

When was this NPI record last updated?

The NPPES record for John Todd was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.