TODD A. MICHENER M.D.
NPI 1942389168
Orthopaedic Surgery in West Chester, PA

Q: What is Todd Michener's NPI number?

The NPI number for Todd Michener is 1942389168. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Todd Michener's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Michener was last updated on March 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.

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment

58.81/100

CMS Quality Rating

915 OLD FERN HILL RD, SUITE 1 B-A, WEST CHESTER, PA 19380(610) 692-6280(610) 429-1943 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Todd A. Michener M.d. NPPES

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

TODD A. MICHENER M.D. (NPI 1942389168) is an individual orthopaedic surgery provider in West Chester, Pennsylvania, licensed in South Carolina (28643) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Vanderbilt University School Of Medicine (2001).

NPPES Registry Identity

NPI1942389168

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameTODD A. MICHENERCredential: M.D.

Location Address915 OLD FERN HILL RD, SUITE 1 B-AWest Chester, PA 19380-4269

Mailing Address915 Old Fern Hill Rd, Suite 1 B-aWest Chester, PA 19380-4269 · (610) 692-6280 · Fax (610) 429-1943

Phone(610) 692-6280

Fax(610) 429-1943

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2001

Enumeration DateNovember 6, 2006

Last NPPES UpdateMarch 24, 2014

✔ NPI 1942389168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in SC · 28643

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

915 OLD FERN HILL RD, West Chester, PA 19380

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Other Identifiers 2

Medicare PIN112923D6QPA

Medicare PIN112923NU9PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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. Michener M.d. 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 ID42313314

PECOS Enrollment IDI20070726000488

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 19

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

11,278 services143 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

1,344 services29 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

893 services479 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.

632 services396 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

251 services201 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.

221 services196 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

140 services104 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

119 services91 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

108 services108 patients

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.

60 services60 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

51 services33 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

44 services38 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services43 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

30 services29 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

20 services20 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

19 services17 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

16 services16 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

15 services14 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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.

58.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

51.54

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

4%1,312 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

96%3,364 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

45%793 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%2,491 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 66% · 1,564 patients

Patients screened: 68% · 1,564 patients

29%31 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%134 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 837 patients

Patients totalRate: 2% · 837 patients

1%837 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

2 suppliers22 claims22 services$41.29 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

2 suppliers35 claims35 services$94.73 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.

DR. DONALD H ANDERSEN M.D.

Urology

915 OLD FERN HILL RD, BLDG., B SUITE 202
WEST CHESTER, PA 19380

Chester County (610) 692-4270

KAREN WOOD CRNP

Nurse Practitioner

915 OLD FERN HILL RD, BLDG D, SUITE 600
WEST CHESTER, PA 19380

Chester County (610) 692-3434

DR. THERESA MUSHENO FEENEY DPT

Physical Therapist

915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 738-2480

MRS. COLLEEN M DIBERNARDO M.S.P.T.

Physical Therapist

915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 738-2480

CHRISTOPHER L BALDI DO

Internal Medicine (Cardiovascular Disease)

915 OLD FERN HILL RD, BLDG. A SUITE 5
WEST CHESTER, PA 19380

Chester County (610) 696-2850

ROBERT P LISS MD

Ophthalmology

915 OLD FERN HILL RD, BUILDING B STE 200
WEST CHESTER, PA 19380

Chester County (610) 696-1230

MATTHEW J SCHAEDLER O.D.

Optometrist

915 OLD FERN HILL RD, BUILDING B, SUITE 200
WEST CHESTER, PA 19380

Chester County (610) 696-1230

DR. RICHARD F. CHALFIN M.D.

Internal Medicine

915 OLD FERN HILL RD, FERN HILL CAMPUS-BUILDING A-SUITE 3
WEST CHESTER, PA 19380

Chester County (610) 738-2450

ERIC TURNER PA

Physician Assistant (Medical)

915 OLD FERN HILL RD, BLDG. A STE. 1
WEST CHESTER, PA 19380

Chester County (610) 692-6280

MRS. CHRISTINE MARIE SCHWEIDLER P.T.

Physical Therapist

915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 738-2480

BARBARA J GUENST CRNP

Nurse Practitioner (Family)

915 OLD FERN HILL RD, BUILDING A, SUITE 3
WEST CHESTER, PA 19380

Chester County (610) 738-2450

RICHARD J MANSFIELD MD

Obstetrics & Gynecology

915 OLD FERN HILL RD, BLDG. D, SUITE 600
WEST CHESTER, PA 19380

Chester County (610) 692-3434

DR. JOHN H BENNER MD

Orthopaedic Surgery

915 OLD FERN HILL RD, SUITE 1 B-A
WEST CHESTER, PA 19380

Chester County (610) 692-6280

JENNIFER TEAL DEL ROSSI

Physical Medicine & Rehabilitation (Sports Medicine)

915 OLD FERN HILL RD
WEST CHESTER, PA 19380

Chester County (610) 738-2480

LAUREN MAZZOLA CRNP

Nurse Practitioner

915 OLD FERN HILL RD
WEST CHESTER, PA 19380

Chester County (610) 696-2850

DONNA M REED D.O.

Internal Medicine (Cardiovascular Disease)

915 OLD FERN HILL RD, BLDG A, STE 5
WEST CHESTER, PA 19380

Chester County (610) 696-2850

GREGORY ROBERT SPECA DPT

Physical Therapist

915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 518-5845

GREGG L NEITHARDT M.D.

Internal Medicine (Cardiovascular Disease)

915 OLD FERN HILL RD, BLDG A, STE 5
WEST CHESTER, PA 19380

Chester County (610) 696-2850

HAYLEY P DAVIS CRNP

Nurse Practitioner (Women's Health)

915 OLD FERN HILL RD, BLDG. D, SUITE 600
WEST CHESTER, PA 19380

Chester County (610) 692-3434

LINDA CAMLIN CRNP

Nurse Practitioner (Acute Care)

915 OLD FERN HILL RD, BUILDING B, SUITE 300
WEST CHESTER, PA 19380

Chester County (610) 431-3122

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 Michener's NPI number?

The NPI number for Todd Michener is 1942389168. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Todd Michener located?

Todd Michener practices at 915 Old Fern Hill Rd Suite 1 B-A, West Chester, PA 19380. The listed phone number is (610) 692-6280.

What is Todd Michener's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Todd Michener enrolled in Medicare?

Yes. Todd Michener 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 Michener accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Todd Michener 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 Michener affiliated with any hospitals?

According to CMS data, Todd Michener is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Todd Michener was last updated on March 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.