MICHELLE E TODER (M.D.) – Specialist, NPI 1679539175

MICHELLE E TODER (M.D.) is a healthcare provider. based in Brewer, Maine. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. 014542 (ME). The NPI Number for MICHELLE E TODER (M.D.) is 1679539175

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE E TODER (M.D.)
NPI
1679539175
Phone
(207) 973-5035
Address
43 WHITING HILL RD
Enumeration Date
24 April 2006
Last Update Date
28 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
1254375991
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20050614000925
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

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Provider Addresses for MICHELLE E TODER (M.D.)

  • Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States

    SUITE 300

    BREWER, ME 044121005

    Phone: (207) 973-5035

    Type: Mailing

  • 417, State Street, Bangor, Penobscot County, Maine, 04401, United States

    SUITE 330

    BANGOR, ME 044016630

    Phone: (207) 973-8881

    Fax: (207) 973-8880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $3,512.

Total Amount is formed as General ($3,512) + Research ($0) + Ownership ($0) = $3,512.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,512).

Total Amount

$3,512

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$3,512
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: 2005-06-14

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
I20050614000925IGeneral SurgeryMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 04412)

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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: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

Is MICHELLE E TODER (M.D.) listed with a National Provider Identifier?
Yes — MICHELLE E TODER (M.D.) has NPI 1679539175 on file in the registry.
Would MICHELLE E TODER (M.D.) appear as active to a payer?
You can treat MICHELLE E TODER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MICHELLE E TODER (M.D.)?
MICHELLE E TODER (M.D.) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
Where in Maine is MICHELLE E TODER (M.D.) registered?
Use Brewer, Maine as the headline location for MICHELLE E TODER (M.D.) here.
Can I trust this NPI listing for MICHELLE E TODER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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