HEATHER L TODD
NPI 1831540459
Nurse Practitioner - Family in Quincy, IL

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 24, 2016, Sep 29, 2016, Jun 24, 2016 (3 updates tracked since 2016).

About Heather L Todd NPPES

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

HEATHER L TODD (NPI 1831540459) is an individual family provider in Quincy, Illinois, licensed in Illinois (209014923) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831540459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER L TODD
Location Address1025 MAINE STQuincy, IL 62301-4038
Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateOctober 24, 20163 updates tracked since enumeration
NPI 1831540459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209014923
Also ListedRegistered NurseTaxonomy 163W00000X · License 041363707 (IL)
1025 MAINE ST, Quincy, IL 62301

Other Identifiers 1

Medicare PINF400334847IL

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

Heather L Todd 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 ID8325336092
PECOS Enrollment IDI20161019002031
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 12

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 discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
638 services530 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.
488 services204 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.
374 services177 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
342 services49 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.
55 services55 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.
41 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 5

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
8 suppliers15 claims34 services$6.20 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$15.42 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$44.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims21 services$107.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers11 claims11 services$204.51 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 20

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

Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301

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 Heather Todd's NPI number?

The NPI number for Heather Todd is 1831540459. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Heather Todd located?

Heather Todd practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Heather Todd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Todd enrolled in Medicare?

Yes. Heather 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.

Is Heather Todd affiliated with any hospitals?

According to CMS data, Heather Todd is affiliated with Blessing Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Todd was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.