TODD RUSSELL ZUSMER D.O.
NPI 1801884887
Family Medicine in Simpsonville, SC
About Todd Russell Zusmer D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TODD RUSSELL ZUSMER D.O. (NPI 1801884887) is an individual family medicine provider in Simpsonville, South Carolina, licensed in South Carolina (1377) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Greer Memorial Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Todd Russell Zusmer D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Todd Zusmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greer, SC 29650
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, South Carolina enrollment
- 160 clinicians in this Medicare group
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 24
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Greer Memorial Hospital
Acute Care Hospitals · Spartanburg, SCPrisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29681 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Zusmer's NPI number?
The NPI number for Todd Zusmer is 1801884887. It was assigned to this individual provider in the NPPES registry on October 12, 2005.
Where is Todd Zusmer located?
Todd Zusmer practices at 300 Scuffletown Rd, Simpsonville, SC 29681. The listed phone number is (864) 329-0029.
What is Todd Zusmer's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Todd Zusmer enrolled in Medicare?
Yes. Todd Zusmer 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.
Which organizations bill Medicare for Todd Zusmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Zusmer reassigns Medicare benefits to 2 organizations: Prisma Health University Medical Group (Greer, SC) and Prisma Health Urgent Care Of South Carolina, PC (Greenville, SC). 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 Zusmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Todd Zusmer accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Todd Zusmer 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 Zusmer affiliated with any hospitals?
According to CMS data, Todd Zusmer is affiliated with Prisma Health Greer Memorial Hospital and Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Todd Zusmer was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.