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JAMES CECIL TODD III MD
NPI 1831165570
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Salisbury, MD

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
100 E CARROLL ST, SALISBURY, MD 21801(410) 546-1353(410) 543-8360 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Cecil Todd Iii Md NPPES

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

JAMES CECIL TODD III MD (NPI 1831165570) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Salisbury, Maryland, licensed in Maryland (D53551) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Virginia Commonwealth University, School Of Medicine (1988).

NPPES Registry Identity

NPI1831165570
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAMES CECIL TODD IIICredential: MD
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-1353 · Fax (410) 543-8360
Phone(410) 546-1353
Fax(410) 543-8360
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1988
Enumeration DateFebruary 23, 2006
Last NPPES UpdateApril 24, 2014
✔ NPI 1831165570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MD · D53551
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License D53551 (MD)
100 E CARROLL ST, Salisbury, MD 21801
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Other Identifiers 2

Medicare UPING80185
Medicaid254700700MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

James Cecil Todd Iii 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 ID1658413869
PECOS Enrollment IDI20100127000304
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.

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.
37 services37 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
31 services31 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.
29 services29 patients
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.
22 services22 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
19 services19 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21801 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
$175.57 typical visit price
range $57.99 – $175.57
Typical copayment $43.89 (range $14.49 – $43.89)
Most-billed visit code 99205
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

DR. DANIEL DEMETRIOS COLLECTOR MD
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
TIDALHEALTH SPECIALTY CARE
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7749
ALEX L MAH MD
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
MICHELLE H GRBIC MS CCC-SLP
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
DR. SAVANNAH FINLEY DO
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
BRENDA MARTIN CRNP
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7531
CHARLES B SILVIA JR. MD
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Wicomico County (410) 543-7536
WILLIAM C TODD MD
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7100

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 1831165570. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is James Todd located?

James Todd practices at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 546-1353.

What is James Todd's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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 Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan 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 Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for James Todd was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.