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DR. TODD R REULBACH M.D.
NPI 1730158858
Otolaryngology in Huntersville, NC

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10305 HAMPTONS PARK DRIVE, SUITE 201, HUNTERSVILLE, NC 28078(704) 295-3600(704) 892-3181 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, May 7, 2018, Nov 30, 2015 (3 updates tracked since 2015).

About Dr. Todd R Reulbach M.d. NPPES

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

DR. TODD R REULBACH M.D. (NPI 1730158858) is an individual otolaryngology provider in Huntersville, North Carolina, licensed in North Carolina (9701561) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (1995).

NPPES Registry Identity

NPI1730158858
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TODD R REULBACHCredential: M.D.
Location Address10305 HAMPTONS PARK DRIVE, SUITE 201Huntersville, NC 28078-7217
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Phone(704) 295-3600
Fax(704) 892-3181
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1995
Enumeration DateMarch 14, 2006
Last NPPES UpdateApril 26, 20213 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1730158858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 9701561
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
10305 HAMPTONS PARK DRIVE, Huntersville, NC 28078
Open in Google Maps ↗

Other Identifiers 6

Other20097009SC · Select Health Of Sc
Other000000297877SC · Unison Health Plan Of Sc
Other134K5NC · Bcbs
OtherP00026764NC · Railroad Medicare
Medicaid89134K5NC
MedicaidN01561SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and more.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. Todd R Reulbach 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 ID6305837493
PECOS Enrollment IDI20040519000038
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 9

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.
117 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services77 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
76 services69 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.
65 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.
33 services30 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Ophthalmology
10305 HAMPTONS PARK DRIVE, SUITE 201
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 295-3600
DR. ERIN O'MALLEY SCHOTTHOEFER MD
Ophthalmology
10305 HAMPTONS PARK DRIVE, SUITE 201
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 295-3000
DR. WEI HUANG M.D
Ophthalmology
10305 HAMPTONS PARK DRIVE, SUITE 201
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 295-3600
USHA P REDDY M.D.
Ophthalmology
10305 HAMPTONS PARK DRIVE, SUITE 201
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 295-3600
DR. MARK TURNER WEIGEL MD
Otolaryngology
10305 HAMPTONS PARK DRIVE, SUITE 201
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 295-3600
DR. MICHAEL J SPICOLA OD
Optometrist
10305 HAMPTONS PARK DRIVE, SUITE 201
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 295-3600

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 Reulbach's NPI number?

The NPI number for Todd Reulbach is 1730158858. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Todd Reulbach located?

Todd Reulbach practices at 10305 Hamptons Park Drive Suite 201, Huntersville, NC 28078. The listed phone number is (704) 295-3600.

What is Todd Reulbach's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Todd Reulbach enrolled in Medicare?

Yes. Todd Reulbach 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 Todd Reulbach accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Molina Healthcare and 1 other insurer list Todd Reulbach 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 Reulbach was last updated on April 26, 2021. 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.