TOD H BETHEA M.D.
NPI 1710979331
Family Medicine in Cleveland, GA

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
2578 HELEN HWY, CLEVELAND, GA 30528(770) 219-9260 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2020, Dec 9, 2015 (2 updates tracked since 2015).

About Tod H Bethea M.d. NPPES

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

TOD H BETHEA M.D. (NPI 1710979331) is an individual family medicine provider in Cleveland, Georgia, licensed in Georgia (042016) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Clayton.

NPPES Registry Identity

NPI1710979331
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOD H BETHEACredential: M.D.
Location Address2578 HELEN HWYCleveland, GA 30528-2848
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1995
Enumeration DateAugust 19, 2005
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1710979331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 042016
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2578 HELEN HWY, Cleveland, GA 30528

Secondary Practice Location 1

Location 1536 Highway 441 SClayton, GA 30525-5423 · Phone (706) 782-7968 · Fax (706) 212-7947

Other Identifiers 3

Other000784638FGA · Medicaid # Quick Care
Medicaid00784638EGA
Other08CBCJSGA · Quick Care Medicare Pin

Accepted 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

Tod H Bethea 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 ID8729182100
PECOS Enrollment IDI20070323000306
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 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
530 services47 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.
132 services116 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
128 services31 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
115 services106 patients
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.
106 services90 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
92 services68 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30528 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.

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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

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.

Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
Family Medicine
2578 HELEN HWY
CLEVELAND, GA 30528
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
Nurse Practitioner (Acute Care)
2578 HELEN HWY
CLEVELAND, GA 30528
Social Worker (Clinical)
2578 HELEN HWY
CLEVELAND, GA 30528
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
Family Medicine
2578 HELEN HWY
CLEVELAND, GA 30528
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528

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 Tod Bethea's NPI number?

The NPI number for Tod Bethea is 1710979331. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Tod Bethea located?

Tod Bethea practices at 2578 Helen Hwy, Cleveland, GA 30528. The listed phone number is (770) 219-9260.

What is Tod Bethea's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tod Bethea enrolled in Medicare?

Yes. Tod Bethea 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 Tod Bethea accept?

Health plans from Alliant Health Plans, Inc. list Tod Bethea 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 Tod Bethea affiliated with any hospitals?

According to CMS data, Tod Bethea is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Tod Bethea was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.