TODD M FAGO MD
NPI 1730195744
Family Medicine in York, NE

Q: What is Todd Fago's NPI number?

The NPI number for Todd Fago is 1730195744. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Todd Fago's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Todd Fago was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 31, 2006PECOS Enrolled

2114 N LINCOLN AVE, SUITE A, YORK, NE 68467(402) 362-5555(402) 362-7137 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Todd M Fago Md NPPES

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

TODD M FAGO MD (NPI 1730195744) is an individual family medicine provider in York, Nebraska, licensed in Nebraska (23433) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health St. Elizabeth, and is a graduate of Creighton University School Of Medicine (2004).

NPPES Registry Identity

NPI1730195744

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTODD M FAGOCredential: MD

Location Address2114 N LINCOLN AVE, SUITE AYork, NE 68467-1072

Mailing Address2114 N Lincoln Ave, Suite AYork, NE 68467-1072 · (402) 362-5555 · Fax (402) 362-7137

Phone(402) 362-5555

Fax(402) 362-7137

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2004

Enumeration DateJuly 31, 2006

Last NPPES UpdateApril 29, 2024

NPPES CertifiedApril 29, 2024

✔ NPI 1730195744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 23433

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.

2114 N LINCOLN AVE, York, NE 68467

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Other Identifiers 1

Medicaid47055301100NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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 M Fago Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193747319

PECOS Enrollment IDI20051230000416

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 Reassignments

Medicare enrollment records show Todd Fago reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

York Medical Clinic, P.C.

Same address

Family Medicine

2114 N LINCOLN AVE STE A
York, NE 68467

Reassigned Medicare billing, Nebraska enrollment
Medicare enrollment name: York Medical Clinic PC
10 clinicians in this Medicare group

NPI 1376596809 (402) 362-5555

York General Hospital

0.1 mi

Emergency Medical Services

2222 N LINCOLN AVE
York, NE 68467

Reassigned Medicare billing, Nebraska enrollment
Also billed through NPI 1588764898 (Nebraska)
38 clinicians in this Medicare group

NPI 1982704250 (402) 362-6671

York Quick Clinic

0.6 mi

Multi-Specialty

309 S 35TH ST
York, NE 68467

Reassigned Medicare billing, Nebraska enrollment
10 clinicians in this Medicare group

NPI 1487245551 (402) 362-5555

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 23

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.

463 services175 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

305 services158 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.

111 services89 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

93 services93 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

78 services43 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

73 services73 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

72 services72 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.

51 services51 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.

48 services48 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.

47 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

40 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

35 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

34 services30 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

28 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services27 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

24 services24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

24 services22 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

24 services24 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services15 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.

18 services15 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

14 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280020

Location555 South 70th StLincoln, NE 68510 · Lancaster County

Emergency services Birthing friendly

Fillmore County Hospital

Critical Access Hospitals · Geneva, NE

OwnershipGovernment - Local

CMS Certification Number281301

LocationP O Box 193, 1900 F StreetGeneva, NE 68361 · Fillmore County

Emergency services

York General Hospital

Critical Access Hospitals · York, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number281336

Location2222 N Lincoln AveYork, NE 68467 · York County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68467 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

6 suppliers51 claims87 services$5.45 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers12 claims12 services$41.63 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers29 claims29 services$117.70 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers29 claims62 services$43.16 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers20 claims96 services$22.73 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers25 claims25 services$71.31 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 16

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

JOSEPH C. ERWIN M.D.

Family Medicine

2114 N LINCOLN AVE, SUITE A
YORK, NE 68467

York County (402) 362-5555

TODD W. STUCKEY M.D.

Family Medicine

2114 N LINCOLN AVE, SUITE A
YORK, NE 68467

York County (402) 362-5555

MRS. HEIDI J COMBS PA-C

Physician Assistant (Surgical)

2114 N LINCOLN AVE, SUITE B
YORK, NE 68467

York County (402) 362-4339

KENDALL M BOLTE PA-C

Physician Assistant

2114 N LINCOLN AVE, SUITE A
YORK, NE 68467

York County (402) 362-5044

ABBY RAE SCHEELE

Nurse Practitioner (Family)

2114 N LINCOLN AVE
YORK, NE 68467

York County (402) 362-5555

YORK SURGICAL ASSOCIATES , PC

Specialist

2114 N LINCOLN AVE, SUITE B
YORK, NE 68467

York County (402) 362-4339

PATRICK A. HOTOVY M.D.

Family Medicine

2114 N LINCOLN AVE, SUITE A
YORK, NE 68467

York County (402) 362-5555

HEATHER C. EBERSPACHER M.D.

Family Medicine

2114 N LINCOLN AVE, SUITE A
YORK, NE 68467

York County (402) 362-5555

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 Fago's NPI number?

The NPI number for Todd Fago is 1730195744. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Todd Fago located?

Todd Fago practices at 2114 N Lincoln Ave Suite A, York, NE 68467. The listed phone number is (402) 362-5555.

What is Todd Fago's specialty?

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

Is Todd Fago enrolled in Medicare?

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

Which organizations bill Medicare for Todd Fago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Fago reassigns Medicare benefits to 3 organizations: York Medical Clinic, P.C. (York, NE), York General Hospital (York, NE) and York Quick Clinic (York, NE). Each 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 Fago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Fago accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Todd Fago 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 Todd Fago affiliated with any hospitals?

According to CMS data, Todd Fago is affiliated with Chi Health St. Elizabeth, Fillmore County Hospital and York General Hospital.

When was this NPI record last updated?

The NPPES record for Todd Fago was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.