Active NPI
Michael McLain Todd, MD
- MOHS-Micrographic Surgery Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 0101235935
- Practice address
- 19465 Deerfield Ave
Suite 401
Leesburg, VA 20176-1701 - Phone
- (703) 723-5700
- Fax
- (703) 723-5778
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101235935 | VA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 0101235935 | VA | Primary |
Addresses
Primary practice location
19465 Deerfield Ave
Suite 401
Leesburg, VA 20176-1701
Mailing address
PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00307175 | Other | VA | RR MEDICARE |
| 010075424 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Utah School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19465 Deerfield Ave
Leesburg, VA 20176-1707
20955 Professional PLZ
Suite 200
Ashburn, VA 20147-3405
Phone (703) 729-7652
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of skin cancer | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Dermatology | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients |
Locations
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
19465 Deerfield Ave
Ste 401
Leesburg, VA 20176
Phone (703) 723-5700
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- michael.todd.1@8042.direct.athenahealth.com
- michael.todd.1@12538.direct.athenahealth.com
- michael.todd@lmg1.eclinicaldirectplus.com
Organizations & group practices 4
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.
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- NPI 1013042480
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1609860337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17334",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212971334",
"telephone_number": "703-443-6717",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19465 DEERFIELD AVE",
"address_2": "SUITE 401",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761701",
"telephone_number": "703-723-5700",
"fax_number": "703-723-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "MICHAEL",
"middle_name": "MCLAIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101235935",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "VA",
"license": "0101235935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00307175",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010075424",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.