TODD S ECKROTH PA
NPI 1629026372
Physician Assistant in Lemoyne, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
50 N 12TH ST, LEMOYNE, PA 17043(717) 234-2561(717) 236-1121 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Todd S Eckroth Pa NPPES

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

TODD S ECKROTH PA (NPI 1629026372) is an individual physician assistant in Lemoyne, Pennsylvania, licensed in Pennsylvania (MA003309L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Carlisle.

NPPES Registry Identity

NPI1629026372
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTODD S ECKROTHCredential: PA
Location Address50 N 12TH STLemoyne, PA 17043-1440
Mailing Address50 N 12th StLemoyne, PA 17043-1440 · (717) 234-2561 · Fax (717) 236-1121
Fax(717) 236-1121
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1629026372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA003309L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
50 N 12TH ST, Lemoyne, PA 17043

Secondary Practice Location 1

Location 1220 Wilson St Ste 104Carlisle, PA 17013-3697 · Phone (717) 234-2561 · Fax (717) 236-1121

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 S Eckroth Pa 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 ID7315901493
PECOS Enrollment IDI20041118000037
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 4

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.
329 services314 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers530 claims531 services$37.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
18 suppliers363 claims363 services$91.46 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
18 suppliers335 claims973 services$34.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers243 claims1,411 services$19.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
15 suppliers209 claims1,210 services$15.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers510 claims510 services$55.62 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.

Internal Medicine (Pulmonary Disease)
50 N 12TH ST
LEMOYNE, PA 17043
Family Medicine
50 N 12TH ST, GROUND LEVEL
LEMOYNE, PA 17043
Nurse Practitioner
50 N 12TH ST
LEMOYNE, PA 17043
Internal Medicine (Critical Care Medicine)
50 N 12TH ST
LEMOYNE, PA 17043
Internal Medicine (Pulmonary Disease)
50 N 12TH ST
LEMOYNE, PA 17043
Clinical Medical Laboratory
50 N 12TH ST, UPPR LEVEL
LEMOYNE, PA 17043
Specialist
50 N 12TH ST
LEMOYNE, PA 17043
Internal Medicine (Pulmonary Disease)
50 N 12TH ST
LEMOYNE, PA 17043

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 Eckroth's NPI number?

The NPI number for Todd Eckroth is 1629026372. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Todd Eckroth located?

Todd Eckroth practices at 50 N 12th St, Lemoyne, PA 17043. The listed phone number is (717) 234-2561.

What is Todd Eckroth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Eckroth enrolled in Medicare?

Yes. Todd Eckroth 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.

Is Todd Eckroth affiliated with any hospitals?

According to CMS data, Todd Eckroth is affiliated with Upmc Carlisle.

When was this NPI record last updated?

The NPPES record for Todd Eckroth was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.