Individual provider Active NPI

Todd Lemmon, MD

  • Gynecology Physician
  • Newark, OH
National Provider Identifier
1730187501
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35.062731 Issued in OH
Practice address
1717 W Main St Ste 202
Newark, OH 43055-1362
Phone
(220) 564-7970
Fax
(220) 564-7971
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 35.062731 OH Primary

Addresses

Primary practice location

1717 W Main St Ste 202
Newark, OH 43055-1362

Mailing address

270 Goosepond Rd
Newark, OH 43055-3104
Phone (220) 564-7945

Other identifiers 1

IdentifierTypeStateIssuer
2314169MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlemmon14375@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091231000320 OH Practitioner - Obstetrics/Gynecology 1658412432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health ProfessionalsGroup PAC ID 6204740731, 235 clinicians

Practice addresses (Care Compare)

120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806

1320 W Main St
Newark, OH 43055-1822

1717 W Main St
Suite 201
Newark, OH 43055-1347
Phone (220) 564-2900

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

88 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.062731OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Apr 1, 2002 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Apr 1, 2002 Accepting new patients
Licking Memorial Health Professionals Current Accepting new patients
Licking Memorial Hospital Current Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Licking Memorial Professional Corp. PastSince Jun 27, 2021 Accepting new patients

Locations

15 Messimer Dr
Newark, OH 43055
Phone (220) 564-4677

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

270 Goosepond Rd
#102
Newark, OH 43055
Phone (740) 348-7945

1717 W Main St
Apt 202
Newark, OH 43055
Phone (220) 564-7970

270 Goosepond Rd
Newark, OH 43055
Phone (220) 564-7960

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 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1730187501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 GOOSEPOND RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553104",
            "telephone_number": "220-564-7945",
            "fax_number": "220-564-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 202",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551362",
            "telephone_number": "220-564-7970",
            "fax_number": "220-564-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMON",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35.062731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314169",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlemmon14375@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1717 W Main St Ste 202",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.