DR. TODD MADISON LOPER M.D.
NPI 1578768156
Radiology - Diagnostic Radiology in St Augustine, FL

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
70 TURIN TER STE 120, ST AUGUSTINE, FL 32092(904) 819-3223 Get Directions Write a Review

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

Record update history: May 12, 2026, May 8, 2025, Oct 5, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Todd Madison Loper M.d. NPPES

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

DR. TODD MADISON LOPER M.D. (NPI 1578768156) is an individual diagnostic radiology provider in St Augustine, Florida, licensed in Florida (ME112816) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578768156
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TODD MADISON LOPERCredential: M.D.
Location Address70 TURIN TER STE 120St Augustine, FL 32092-0849
Mailing AddressPo Box 3266St Augustine, FL 32085-3266 · (904) 819-4602
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2006
Enumeration DateJune 15, 2007
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1578768156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · ME112816✔ Licensed in GA · 71388
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
70 TURIN TER STE 120, St Augustine, FL 32092

Secondary Practice Locations 3

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-9000
Location 2400 Health Park BlvdSt Augustine, FL 32086-5784 · Phone (904) 819-5155
Location 31000 Mar Walt DrFort Walton Beach, FL 32547-6708 · Phone (850) 862-4106

Accepted 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 Madison Loper 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 ID2466618020
PECOS Enrollment IDI20120725000930, I20240322004367, I20251219003051
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

12

Medicare enrollment records show Todd Loper reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
70 TURIN TER STE 110
St Augustine, FL 32092
  • Reassigned Medicare billing, Florida enrollment
  • 354 clinicians in this Medicare group
Radiology
70 TURIN TER STE 120
St Augustine, FL 32092
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1194440289 (Florida)
  • 3 clinicians in this Medicare group
Diagnostic Radiology
1673 MASON AVE, SUITE # 305
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
  • 65 clinicians in this Medicare group
Diagnostic Radiology
1673 MASON AVE, SUITE 305
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
  • 189 clinicians in this Medicare group
Diagnostic Radiology
2300 SE 17TH ST, BLDG 800
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
Diagnostic Radiology
2105 STATE ROAD 44 W
Inverness, FL 34452
  • Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
  • 97 clinicians in this Medicare group
Gastroenterology
2300 MANCHESTER EXPY
Columbus, GA 31904
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • 83 clinicians in this Medicare group
Surgery
225 HOSPITAL DR
Galax, VA 24333
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
Diagnostic Radiology
142 S MAIN ST
Danville, VA 24541
  • Reassigned Medicare billing, Florida enrollment
  • 83 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.

Areas of Expertise CMS Part B claims 92

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
9,679 services118 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
419 services419 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
413 services413 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
268 services233 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
186 services172 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
117 services115 patients

Hospital Affiliations CMS Care Compare 5

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Halifax Health /Uf Health Medical Center Of Delton

Acute Care Hospitals · Deltona, FL
OwnershipGovernment - Local
CMS Certification Number100330
Location3300 Halifax Crossings BlvdDeltona, FL 32725 · Volusia County
Emergency services

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Radiology)
70 TURIN TER STE 120
ST AUGUSTINE, FL 32092
Radiology (Diagnostic Radiology)
70 TURIN TER STE 120
ST AUGUSTINE, FL 32092

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 Loper's NPI number?

The NPI number for Todd Loper is 1578768156. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Todd Loper located?

Todd Loper practices at 70 Turin Ter Ste 120, St Augustine, FL 32092. The listed phone number is (904) 819-3223.

What is Todd Loper's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Todd Loper enrolled in Medicare?

Yes. Todd Loper 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 Loper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Loper reassigns Medicare benefits to 12 organizations: Villages Regional Hospital Physician Services LLC (St Augustine, FL), Flagler Professional Health Care Services, Inc. (St Augustine, FL), East Central Florida Outpatient Imaging LLC (Daytona Beach, FL), Radiology Imaging Associates, LLC (Daytona Beach, FL), Ocala Health Imaging Services LLC (Ocala, FL) and 7 more organizations, listed in the Medicare section above. 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 Loper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Loper accept?

Health plans from Oscar Health list Todd Loper 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 Loper affiliated with any hospitals?

According to CMS data, Todd Loper is affiliated with Halifax Health Medical Center, Flagler Hospital, Halifax Health /Uf Health Medical Center Of Delton, Northeast Georgia Medical Center, Inc and St Francis Hospital- Emory Healthcare.

When was this NPI record last updated?

The NPPES record for Todd Loper was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.