1. Home
  2. Directory
  3. Massachusetts
  4. Newton
  5. Internal Medicine
  6. NPI Profile

DR. JAMES WINGATE TODD MD
NPI 1720050586
Internal Medicine - Cardiovascular Disease in Newton, MA

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
2000 WASHINGTON ST, SUITE 403, NEWTON, MA 02462(617) 965-2328(617) 965-0711 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Wingate Todd Md NPPES

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

DR. JAMES WINGATE TODD MD (NPI 1720050586) is an individual cardiovascular disease provider in Newton, Massachusetts, licensed in Massachusetts (32965) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1967).

NPPES Registry Identity

NPI1720050586
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES WINGATE TODDCredential: MD
Location Address2000 WASHINGTON ST, SUITE 403Newton, MA 02462-1650
Mailing Address2000 Washington St, Suite 403Newton, MA 02462-1650 · (617) 965-2328 · Fax (617) 965-0711
Phone(617) 965-2328
Fax(617) 965-0711
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1967
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1720050586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 32965
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2000 WASHINGTON ST, Newton, MA 02462
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC46273MA
Medicare ID-Type UnspecifiedB30125MA · Physician
Medicaid0171131MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. James Wingate Todd 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 ID3779578331
PECOS Enrollment IDI20040415000035
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 6

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 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.
141 services65 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.
135 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services14 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
21 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02462 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims19 services$6.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.53 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.10 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.

BRUCE ALDEN THAYER M.D.
Surgery
2000 WASHINGTON ST, SUITE 665
NEWTON, MA 02462
Middlesex County (617) 243-3724
DR. MATTHIAS BERNARD DONELAN MD
Plastic Surgery
2000 WASHINGTON ST
NEWTON LOWER FALLS, MA 02462
Middlesex County (617) 244-0990
DR. BRINDA TRIVEDI GUPTA MD
Pediatrics
2000 WASHINGTON ST, SUITE 466
NEWTON, MA 02462
Middlesex County (617) 969-8989
NEW ENGLAND EAR NOSE AND THROAT LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2000 WASHINGTON ST, SUITE 544 WHITE BUILDING
NEWTON, MA 02462
Middlesex County (617) 910-0368
NICHOLAS MICHAEL MASCOLI III M.D.
Internal Medicine
2000 WASHINGTON ST, SUITE 546
NEWTON LOWER FALLS, MA 02462
Middlesex County (617) 964-5020
BRUCE M. LESLIE M.D.
Orthopaedic Surgery (Hand Surgery)
2000 WASHINGTON ST, SUITE 341
NEWTON, MA 02462
Middlesex County (617) 964-0024
TARA A GRABOWSKY M.D.
Internal Medicine
2000 WASHINGTON ST, SUITE 441
NEWTON, MA 02462
Middlesex County (617) 964-9070
ANN WANG-DOHLMAN, MD, PC
Allergy & Immunology (Allergy)
2000 WASHINGTON ST, SUITE 205
NEWTON, MA 02462
Middlesex County (617) 527-3440

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 James Todd's NPI number?

The NPI number for James Todd is 1720050586. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is James Todd located?

James Todd practices at 2000 Washington St Suite 403, Newton, MA 02462. The listed phone number is (617) 965-2328.

What is James Todd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Todd enrolled in Medicare?

Yes. James Todd 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 James Todd accept?

Health plans from Anthem Blue Cross and Blue Shield list James Todd 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 James Todd affiliated with any hospitals?

According to CMS data, James Todd is affiliated with Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for James Todd was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.