KATHLEEN L TODD (DO) – Family Medicine Physician, NPI 1013983865

KATHLEEN L TODD (DO) is a healthcare provider. based in Mailtand, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS7722 (FL). The NPI Number for KATHLEEN L TODD (DO) is 1013983865

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN L TODD (DO)
NPI
1013983865
Phone
(407) 691-3960
Address
406 LAKE HOWELL ROAD
Enumeration Date
23 February 2006
Last Update Date
6 September 2012

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4077882000
Graduation Year
1995 (31 years ago)
PAC ID
5496709586
Group Practice PAC ID
6406849256
Professional Enrollment ID
I20050314000697
Address ID
FL327144136AL440XX436X401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for KATHLEEN L TODD (DO)

  • 406 LAKE HOWELL ROAD

    MAILTAND, FL 32751

    Phone: (407) 691-3960

    Fax: (407) 691-3961

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Phadia US Inc. ($99).

Total Amount

$136

General + Research + Ownership

Payments

3

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050314000697IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406849256View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
-FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Physician AssistantFL
Emergency MedicineFL
-FL
Family Practice, Obstetrics/GynecologyFL

Reviews

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Frequently asked questions

How do I look up KATHLEEN L TODD (DO) by NPI?
Use NPI 1013983865 when you need to reference KATHLEEN L TODD (DO) in forms, claims, or directories.
Does this profile mean KATHLEEN L TODD (DO) is currently active?
Yes — KATHLEEN L TODD (DO) appears active in the national provider directory.
Can you summarize KATHLEEN L TODD (DO)'s specialty in plain language?
Clinically, the directory lists KATHLEEN L TODD (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN L TODD (DO)'s primary listing?
We display Mailtand, Florida because that is what the record indicates for KATHLEEN L TODD (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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