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TODD A MCGRATH
NPI 1811251317
Emergency Medicine in Durango, CO

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment
82.45/100
CMS Quality Rating
1010 THREE SPRINGS BLVD, DURANGO, CO 81301(970) 247-4311(303) 306-7753 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd A Mcgrath NPPES

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

TODD A MCGRATH (NPI 1811251317) is an individual emergency medicine provider in Durango, Colorado, licensed in Colorado (DR.0054983) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1811251317
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTODD A MCGRATH
Location Address1010 THREE SPRINGS BLVDDurango, CO 81301
Mailing AddressPo Box 17752Denver, CO 80217-0752 · (303) 306-7783 · Fax (303) 306-7753
Phone(970) 247-4311
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 28, 2012
Last NPPES UpdateJune 11, 2018
✔ NPI 1811251317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CO · DR.0054983✔ Licensed in NM · A-2122-18✔ Licensed in MI · 5101020112
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1010 THREE SPRINGS BLVD, Durango, CO 81301
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Other Names 1

Professional Name (2)Todd A. Mcgrath Do

Secondary Practice Location 1

Location 1801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-2000 · Fax (505) 609-2259

Other Identifiers 1

Medicaid85976571CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Todd A Mcgrath 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 ID2567774508
PECOS Enrollment IDI20180625003622
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
281 services265 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.
165 services149 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services112 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
68 services65 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

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.

RICHARD A BROWN MD
Internal Medicine (Critical Care Medicine)
1010 THREE SPRINGS BLVD, STE 110
DURANGO, CO 81301
La Plata County (970) 764-2750
CHARLES EATON PAGE
Emergency Medicine
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (303) 306-7783
DR. TRENT W PANSZE MD
Pathology (Anatomic Pathology & Clinical Pathology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 164-1170
VITUITY-COLORADO ANESTHESIA SERVICES PC
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 247-4311
JAIMIE HOFFMAN RN
Registered Nurse
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 764-1720
DR. CHARLES B MASTERS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 764-1170
HOLLY MUNNIS MEUNIER M.D.
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 946-4229
CATHOLIC HEALTH INITIATIVES COLORADO
Surgery
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 247-4311

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 Mcgrath's NPI number?

The NPI number for Todd Mcgrath is 1811251317. It was assigned to this individual provider in the NPPES registry on June 28, 2012. The provider is also known as Todd A. Mcgrath Do.

Where is Todd Mcgrath located?

Todd Mcgrath practices at 1010 Three Springs Blvd, Durango, CO 81301. The listed phone number is (970) 247-4311.

What is Todd Mcgrath's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Todd Mcgrath enrolled in Medicare?

Yes. Todd Mcgrath 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 Mcgrath accept?

Health plans from Molina Healthcare list Todd Mcgrath 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 Mcgrath affiliated with any hospitals?

According to CMS data, Todd Mcgrath is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Todd Mcgrath was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.