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TODD C CAMPBELL MD
NPI 1710986682
Surgery in Mechanicsburg, PA

Active since July 21, 2005PECOS Enrolled
72.27/100
CMS Quality Rating
880 CENTURY DRIVE, MECHANICSBURG, PA 17055(717) 691-3235(717) 691-3243 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Todd C Campbell Md NPPES

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

TODD C CAMPBELL MD (NPI 1710986682) is an individual surgery provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD428316) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710986682
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTODD C CAMPBELLCredential: MD
Location Address880 CENTURY DRIVEMechanicsburg, PA 17055
Mailing Address880 Century DriveMechanicsburg, PA 17055 · (717) 691-3235 · Fax (717) 691-3243
Phone(717) 691-3235
Fax(717) 691-3243
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateSeptember 16, 2009
✔ NPI 1710986682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD428316✔ Licensed in NC · 200300950
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
880 CENTURY DRIVE, Mechanicsburg, PA 17055
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Other Identifiers 16

Other1250401PA · Aetna Hmo
Other30033052PA · Keystone Mercy
Medicaid891347VNC
Medicare PINP00603166PA
Medicare PIN102063VGUPA
Other10152929101PA · Americhoice
Other83031939PA · Cigna
Other7211833PA · Aetna
Other201093283NC · Group Tax Id #
Other37167PA · Health Partners
Medicare ID-Type Unspecified2021094ANC · Individual Mcr #
Medicaid101529291001PA
Other2702925000PA · Bcbs
Medicaid1015292910001PA
Medicare UPINH91150PA
Medicare UPINH91150NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd C Campbell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Todd Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Wound Specialists Of Pennsylvania, LLC
113 mi
Undersea and Hyperbaric Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 clinicians in this Medicare group
NPI 1578882924 (814) 443-8225

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 7

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
397 services82 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.
243 services84 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
109 services24 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.
86 services45 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
61 services31 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.
60 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17055 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.

72.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.2
Promoting Interoperability100
Improvement Activities40
Cost21.04

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.

STEPHEN J MILITO MD PC
Surgery
880 CENTURY DRIVE
MECHANICSBURG, PA 17055
Cumberland County (717) 691-3235
CAPITAL AREA RT ASSOCIATES
Radiology (Radiation Oncology)
880 CENTURY DRIVE
MECHANICSBURG, PA 17055
Cumberland County (717) 691-3235

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 Campbell's NPI number?

The NPI number for Todd Campbell is 1710986682. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Todd Campbell located?

Todd Campbell practices at 880 Century Drive, Mechanicsburg, PA 17055. The listed phone number is (717) 691-3235.

What is Todd Campbell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Todd Campbell enrolled in Medicare?

Yes. Todd Campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Todd Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Campbell reassigns Medicare benefits to Integrated Wound Specialists Of Pennsylvania, LLC (Somerset, PA). The 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 Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Campbell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Todd Campbell 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.

When was this NPI record last updated?

The NPPES record for Todd Campbell was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.