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TODD A FAIRCHILD MD
NPI 1568672525
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Appleton, WI

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
5320 W MICHAELS DR, APPLETON, WI 54913(920) 882-8200 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Dec 20, 2021, Jul 8, 2019 and 1 more (4 updates tracked since 2017).

About Todd A Fairchild Md NPPES

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

TODD A FAIRCHILD MD (NPI 1568672525) is an individual orthopaedic surgery of the spine provider in Appleton, Wisconsin, licensed in Wisconsin (51622-20) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Yale University School Of Medicine (2003).

NPPES Registry Identity

NPI1568672525
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameTODD A FAIRCHILDCredential: MD
Location Address5320 W MICHAELS DRAppleton, WI 54913-8446
Mailing Address5320 W Michaels DrAppleton, WI 54913-8446 · (920) 882-8200
Phone(920) 882-8200
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2003
Enumeration DateMay 22, 2007
Last NPPES UpdateDecember 29, 20224 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1568672525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in WI · 51622-20✔ Licensed in MN · 50817
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License R7126 (IA)
5320 W MICHAELS DR, Appleton, WI 54913
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Secondary Practice Locations 2

Location 14100 State Highway 66Stevens Point, WI 54482-8410 · Phone (715) 343-7700
Location 25320 W Michaels DrAppleton, WI 54913-8446 · Phone (920) 882-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Network Health.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

Todd A Fairchild 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 ID4082772066
PECOS Enrollment IDI20090813000470
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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
15 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 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.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

Other Providers at the Same Location NPPES 19

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

JAMI ELIZABETH HELLMER NP
Nurse Practitioner
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
KERI LYNN VOLINKATY CSFA
Specialist/Technologist, Other (Surgical Technologist)
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
ANTHONY KOU LEE PA-C
Physician Assistant
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 585-4846
BENJAMIN THOMAS ABADEER DO
Surgery
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
AMANDA L GREENE MD
Anesthesiology
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
MS. JENNIFER ANN HEENAN APNP
Nurse Practitioner
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
JESSICA ZIELINSKI PT
Physical Therapist
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200
ALEX MINTEN PT
Physical Therapist
5320 W MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 882-8200

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 Fairchild's NPI number?

The NPI number for Todd Fairchild is 1568672525. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Todd Fairchild located?

Todd Fairchild practices at 5320 W Michaels Dr, Appleton, WI 54913. The listed phone number is (920) 882-8200.

What is Todd Fairchild's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Todd Fairchild enrolled in Medicare?

Yes. Todd Fairchild 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 Todd Fairchild accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Todd Fairchild 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 Todd Fairchild was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.