DR. TODD J PESEK M.D.
NPI 1669627816
General Practice in Lyndhurst, OH

Q: What is Todd Pesek's NPI number?

The NPI number for Todd Pesek is 1669627816. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Q: What is Todd Pesek's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Todd Pesek enrolled in Medicare?

No. Todd Pesek has opted out of Medicare through November 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Todd Pesek was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 01, 2008Opted out of Medicare · through Nov 4, 2027

5555 MAYFIELD RD, LYNDHURST, OH 44124(440) 995-0555 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Todd J Pesek M.d. NPPES

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

DR. TODD J PESEK M.D. (NPI 1669627816) is an individual general practice provider in Lyndhurst, Ohio, licensed in Ohio (35.091001) and active in the NPI registry since December 2008. He has opted out of Medicare through November 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669627816

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. TODD J PESEKCredential: M.D.

Location Address5555 MAYFIELD RDLyndhurst, OH 44124-2939

Mailing Address5555 Mayfield RdLyndhurst, OH 44124-2939 · (440) 995-0555

Phone(440) 995-0555

Sole ProprietorNo

Enumeration DateDecember 1, 2008

Last NPPES UpdateJune 30, 2010

✔ NPI 1669627816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 35.091001

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

5555 MAYFIELD RD, Lyndhurst, OH 44124

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Todd J Pesek M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 4, 2013 through November 4, 2027.

Opt-Out Effective DateNovember 4, 2013

Opt-Out In Effect ThroughNovember 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

HUMANISTIC COUNSELING CENTER LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))