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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS JOSEPH TODARO MD
NPI 1649965435
Emergency Medicine in Macon, GA

Active since April 07, 2023PECOS EnrolledAccepts Medicare Assignment
350 HOSPITAL DR, MACON, GA 31217(478) 751-0367 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Apr 7, 2023 (2 updates tracked since 2023).

About Nicholas Joseph Todaro Md NPPES

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

NICHOLAS JOSEPH TODARO MD (NPI 1649965435) is an individual emergency medicine provider in Macon, Georgia, licensed in Indiana (01100894A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649965435
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS JOSEPH TODAROCredential: MD
Location Address350 HOSPITAL DRMacon, GA 31217-3838
Mailing Address380 Hospital Drive, Building A, Suite 430Macon, GA 31217-8017
Phone(478) 751-0367
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 7, 2023
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1649965435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01100894A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
350 HOSPITAL DR, Macon, GA 31217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Nicholas Joseph Todaro 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 ID42723694
PECOS Enrollment IDI20250902002677
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

7

Medicare enrollment records show Nicholas Todaro reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston County Emergency Group, LLC
16 mi
Emergency Medicine
1601 WATSON BLVD
Warner Robins, GA 31093
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1013338193 (478) 922-4281
Montgomery Emergency Group, LLC
84 mi
Emergency Medicine
1 MEADOWS PKWY
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
NPI 1861773764 (912) 535-5555
South Georgia Emergency Medicine Associates PC
141 mi
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 147 clinicians in this Medicare group
NPI 1386903649 (229) 228-2000
Emergency Physicians Inc
170 mi
Emergency Medicine
2415 PARKWOOD DR
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 100 clinicians in this Medicare group
NPI 1477001972 (912) 466-7000
Daniel Island Emergency Physicians, LLC
216 mi
Emergency Medicine
960 CHARLESTON REGIONAL PARKWAY
Charleston, SC 29492
  • Reassigned Medicare billing, South Carolina enrollment
  • 37 clinicians in this Medicare group
NPI 1477404911 (843) 881-0100
Mount Pleasant Emergency Physicians, LLC
219 mi
Emergency Medicine
2000 HOSPITAL DR
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 45 clinicians in this Medicare group
NPI 1619271020 (843) 881-0100
Gastonia Physician Services, PLLC
219 mi
Emergency Medicine
2525 COURT DR
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 200 clinicians in this Medicare group
NPI 1316367691 (704) 834-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SRIRAMAKRISHNA RAO KOGANTI MD
Emergency Medicine
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367
MARY GRACE RICIO PANCHO RPT
Clinic/Center (Physical Therapy)
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 765-7000
STEPHANIE GARRETT INTORCIA APRN
Nurse Practitioner
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 464-1442
DR. MANASA RAO KAKULAMARRI
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367
SARAH TUTTLE MD
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367
ANGELA G RIVERS NP
Nurse Practitioner (Family)
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 765-7000
JU EUN JUNE SEOK
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 765-7000
ABIGAIL HARROD
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367

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 Nicholas Todaro's NPI number?

The NPI number for Nicholas Todaro is 1649965435. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Nicholas Todaro located?

Nicholas Todaro practices at 350 Hospital Dr, Macon, GA 31217. The listed phone number is (478) 751-0367.

What is Nicholas Todaro's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Todaro enrolled in Medicare?

Yes. Nicholas Todaro 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 Nicholas Todaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Todaro reassigns Medicare benefits to 7 organizations: Houston County Emergency Group, LLC (Warner Robins, GA), Montgomery Emergency Group, LLC (Vidalia, GA), South Georgia Emergency Medicine Associates PC (Thomasville, GA), Emergency Physicians Inc (Brunswick, GA), Daniel Island Emergency Physicians, LLC (Charleston, SC) and 2 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 Nicholas Todaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Todaro accept?

Health plans from Oscar Health and Oscar Insurance Company list Nicholas Todaro 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 Nicholas Todaro affiliated with any hospitals?

According to CMS data, Nicholas Todaro is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Nicholas Todaro was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.