MR. TODD BRUCE RICHARDS (P.A.-C.) – Physician Assistant, NPI 1790895779

MR. TODD BRUCE RICHARDS (P.A.-C.) is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C.. They hold a License No. 50-000841 (OH). The NPI Number for MR. TODD BRUCE RICHARDS (P.A.-C.) is 1790895779

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. TODD BRUCE RICHARDS (P.A.-C.)
NPI
1790895779
Phone
(231) 935-5000
Address
1105 Sixth St
Enumeration Date
30 August 2006
Last Update Date
17 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313928280
Graduation Year
1995 (31 years ago)
PAC ID
5294639845
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20210623002500
Address ID
MI496842345TR1121XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MR. TODD BRUCE RICHARDS (P.A.-C.)

  • 1105 Sixth St

    Traverse City, MI 49684

    Phone: (231) 935-5000

    Type: Location

  • 550 Munson Ave

    Traverse City, MI 496863580

    Phone: (231) 935-8686

    Fax: (231) 935-8708

    Type: Location

  • 10 Severance Cir

    Cleveland Heights, OH 441181533

    Phone: (216) 524-7377

    Fax: (216) 297-8505

    Type: Location

  • 224 PARK AVE

    FRANKFORT, MI 496359658

    Phone: (231) 352-2200

    Fax: (231) 352-2232

    Type: Mailing

  • 1001, Lakeside Avenue East, East 4th Street, Warehouse District, Cleveland, Cuyahoga County, Ohio, 44114, United States

    #1200

    CLEVELAND, OH 441141158

    Phone:

    Type: Mailing

  • MetroHealth Cleveland Heights Medical Center, 10, Severance Circle, Cleveland Heights, Cuyahoga County, Ohio, 44118, United States

    CLEVELAND HEIGHTS, OH 441181533

    Phone: (216) 524-7377

    Fax: (216) 297-8505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-23

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
I20210623002500IPhysician AssistantMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8684$0
99203New patient office or other outpatient visit, 30-44 minutes8181$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99202New patient office or other outpatient visit, 15-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 3072426287View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MR. TODD BRUCE RICHARDS (P.A.-C.) in U.S. healthcare records?
The official identifier for MR. TODD BRUCE RICHARDS (P.A.-C.) is NPI 1790895779.
Is MR. TODD BRUCE RICHARDS (P.A.-C.) still an active registrant?
MR. TODD BRUCE RICHARDS (P.A.-C.) carries an active NPI according to the public dataset.
What expertise is attributed to MR. TODD BRUCE RICHARDS (P.A.-C.)?
MR. TODD BRUCE RICHARDS (P.A.-C.)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. TODD BRUCE RICHARDS (P.A.-C.)?
Directory geography for MR. TODD BRUCE RICHARDS (P.A.-C.) centers on Traverse City, Michigan.
When was this NPI issued?
Enumeration for MR. TODD BRUCE RICHARDS (P.A.-C.) is noted as August 30, 2006 where the registry provides it.

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