Individual provider Active NPI

Edward Robert Todd, PA-C

  • Surgical Physician Assistant
  • Ocala, FL
National Provider Identifier
1477517647
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2900 Issued in FL
Practice address
1490 SE Magnolia Ave. Ext.
Ocala, FL 34471
Phone
(352) 671-4221
Fax
(352) 671-4393
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2900 FL Primary

Addresses

Primary practice location

1490 SE Magnolia Ave. Ext.
Ocala, FL 34471

Mailing address

1490 SE Magnolia Ave. Ext.
Ocala, FL 34471
Phone (352) 671-4221

Other practice location 1

12880 Commodity Pl
c/o United Surgical Assistants, Inc.
Tampa, FL 33626-3101
Phone (877) 872-5788

Other practice location 2

4215 Edgewater Dr
Orlando, FL 32804-2206
Phone (407) 539-2000

Other identifiers 2

IdentifierTypeStateIssuer
E0967SOtherFLQSS SCS PTAN
290164100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000632 FL Practitioner - Physician Assistant 6608765896 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 291-3000

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

1500 SE 1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200

202 Phillips PL
Orlando, FL 32806-1218
Phone (386) 274-7118

339 Brandywine Dr
Valrico, FL 33594-3205
Phone (352) 671-4300

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3400

488 NE 18TH St
Unit 2802
Miami, FL 33132-1306
Phone (386) 274-7118

9378 Orchid Cove Cir
Vero Beach, FL 32963-4110
Phone (352) 351-7200

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062
  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Clinical Services,Inc. Surgical PastSince Jun 5, 2012 Accepting new patients
Medical Imaging Center of Ocala LLP PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477517647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 SE MAGNOLIA AVE. EXT.",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-671-4221",
            "fax_number": "352-671-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 SE MAGNOLIA AVE. EXT.",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-671-4221",
            "fax_number": "352-671-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12880 Commodity Pl",
            "address_2": "c/o United Surgical Assistants, Inc.",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336263101",
            "country_code": "US",
            "telephone_number": "877-872-5788",
            "fax_number": "866-698-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328042206",
            "country_code": "US",
            "telephone_number": "407-539-2000",
            "fax_number": "407-398-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QSS SCS PTAN",
            "identifier": "E0967S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290164100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.