DR. TODD MATTHEW FELIX MD
NPI 1831240134
Family Medicine in Harrisburg, PA

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
121 NYES RD, SUITE F, HARRISBURG, PA 17112(717) 214-6545 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd Matthew Felix Md NPPES

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

DR. TODD MATTHEW FELIX MD (NPI 1831240134) is an individual family medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD433376) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1831240134
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TODD MATTHEW FELIXCredential: MD
Location Address121 NYES RD, SUITE FHarrisburg, PA 17112-3247
Mailing Address500 University DrHershey, PA 17033-2360 · (800) 243-1455
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2005
Enumeration DateJanuary 15, 2007
Last NPPES UpdateFebruary 20, 2012
NPI 1831240134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD433376
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.
121 NYES RD, Harrisburg, PA 17112

Other Identifiers 2

Medicare PIN134013PA
Medicaid102228194PA

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 Matthew Felix 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 ID345318713
PECOS Enrollment IDI20081013000265
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 3

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.
102 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services11 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17112 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers11 claims37 services$6.74 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$2.14 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 5

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

Pediatrics
121 NYES RD, SUITE A
HARRISBURG, PA 17112
Family Medicine
121 NYES RD
HARRISBURG, PA 17112
Pediatrics (Pediatric Cardiology)
121 NYES RD, SUITE D
HARRISBURG, PA 17112
Physician Assistant (Medical)
121 NYES RD
HARRISBURG, PA 17112
Family Medicine
121 NYES RD, SUITE A
HARRISBURG, PA 17112

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 Felix's NPI number?

The NPI number for Todd Felix is 1831240134. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Todd Felix located?

Todd Felix practices at 121 Nyes Rd Suite F, Harrisburg, PA 17112. The listed phone number is (717) 214-6545.

What is Todd Felix's specialty?

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

Is Todd Felix enrolled in Medicare?

Yes. Todd Felix 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.

Is Todd Felix affiliated with any hospitals?

According to CMS data, Todd Felix is affiliated with Upmc Pinnacle Hospitals, Milton S Hershey Medical Center and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Felix was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.