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DR. TOD CLEMENT ENGELHARDT M.D.
NPI 1568462265
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Metairie, LA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
4228 HOUMA BLVD STE 130, METAIRIE, LA 70006(504) 454-2222(504) 454-2388 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tod Clement Engelhardt M.d. NPPES

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

DR. TOD CLEMENT ENGELHARDT M.D. (NPI 1568462265) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Metairie, Louisiana, licensed in Louisiana (017922) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Tulane University School Of Medicine (1984).

NPPES Registry Identity

NPI1568462265
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. TOD CLEMENT ENGELHARDTCredential: M.D.
Location Address4228 HOUMA BLVD STE 130Metairie, LA 70006-3003
Mailing Address4228 Houma Blvd Ste 130Metairie, LA 70006-3003 · (504) 454-2222 · Fax (504) 454-2388
Phone(504) 454-2222
Fax(504) 454-2388
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1984
Enumeration DateJuly 26, 2005
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1568462265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in LA · 017922
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4228 HOUMA BLVD STE 130, Metairie, LA 70006
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Other Identifiers 1

Medicaid1364002LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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. Tod Clement Engelhardt 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 ID6901859974
PECOS Enrollment IDI20050302000345
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 Reassignment

Medicare enrollment records show Tod Engelhardt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Jefferson Physicians Group Urgent Care
4.6 mi
Urgent Care
708 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: East Jefferson Physicians Group LLC
  • 313 clinicians in this Medicare group
NPI 1053859082 (504) 503-5100

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 8

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.
52 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
23 services22 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
21 services21 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
18 services11 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$170.30 typical visit price
range $55.50 – $170.30
Typical copayment $42.57 (range $13.87 – $42.57)
Most-billed visit code 99205
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
64%125 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%131 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BONNIE MCMANAMON HANSON
Physician Assistant
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
DR. HARRY ALLEN ROACH M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
COLLEEN O TRAN PA-C
Physician Assistant
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
DR. MICHAEL NELSON BROTHERS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222

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 Tod Engelhardt's NPI number?

The NPI number for Tod Engelhardt is 1568462265. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Tod Engelhardt located?

Tod Engelhardt practices at 4228 Houma Blvd Ste 130, Metairie, LA 70006. The listed phone number is (504) 454-2222.

What is Tod Engelhardt's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Tod Engelhardt enrolled in Medicare?

Yes. Tod Engelhardt 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 organization bills Medicare for Tod Engelhardt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tod Engelhardt reassigns Medicare benefits to East Jefferson Physicians Group Urgent Care (Kenner, LA). The 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 Tod Engelhardt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tod Engelhardt accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Tod Engelhardt 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 Tod Engelhardt affiliated with any hospitals?

According to CMS data, Tod Engelhardt is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Tod Engelhardt was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.