Todd David Elmore, MD
Individual provider Active NPI Neurology Physician · Springfield, IL
NPI 1104854439 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1104854439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 036086844 (IL)
- Practice address
- 301 N 8TH St
Springfield, IL 62701-1041 - Phone
- (217) 528-7541
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Southern Illinois University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLP
Practice addresses (Care Compare)
100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone (217) 735-9555
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
250 W Kenwood Ave
Decatur, IL 62526-4371
Phone (217) 528-7541
301 N 8TH St
Springfield, IL 62701-1041
Phone (217) 528-7541
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone (217) 525-4150
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Hospital & facility affiliations
- St Johns Hospital
- Memorial Medical Center
- Abraham Lincoln Memorial Hospital
- Decatur Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2023 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2023 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2023 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2023 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140922001039 | IL | Practitioner - Neurology | 0446341861 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18819 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current |
Accepting new patients |
Locations
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
15 East Hazel Dell Ln
Springfield, IL 62712
Phone (217) 585-5224
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- todd.elmore.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036086844 | IL | Yes |
Addresses
Primary practice location
301 N 8TH St
Springfield, IL 62701-1041
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000036797 | Medicaid | AL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | telmore101408@ewd.direct.hshs.org | Direct |
Other providers in Springfield, IL
- Jennifer Ellison
- Joshua Ellison
- Taryn Ellison
- Amira Elmagbari
- Yansoun Younes Elmasry
- Nadin Samy Sedik Elsayed
- Ahmed Adel Elsheikh
- Assad Adel Elsheikh
- Haylee Elizabeth Elvendahl-Rumley
- Darby Elizabeth Ely
All providers in Springfield, IL · Neurology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.