CALLIE RENAE TODD (MD) – Family Medicine Physician, NPI 1710621735

CALLIE RENAE TODD (MD) is a healthcare provider. based in Amarillo, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. W1513 (TX). The NPI Number for CALLIE RENAE TODD (MD) is 1710621735

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CALLIE RENAE TODD (MD)
NPI
1710621735
Phone
(806) 414-9559
Address
1400 S COULTER ST STE 5100
Enumeration Date
26 April 2022
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9403975431
Graduation Year
2022 (4 years ago)
PAC ID
8921489782
Group Practice PAC ID
8426482159
Professional Enrollment ID
I20251022000898
Address ID
TX763066760WI500XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for CALLIE RENAE TODD (MD)

  • 1400 S COULTER ST STE 5100

    AMARILLO, TX 791061786

    Phone: (806) 414-9559

    Fax: (806) 351-3765

    Type: Mailing

  • 500 SCOTT AVE

    WICHITA FALLS, TX 763011508

    Phone: (940) 228-1879

    Fax: (940) 257-6240

    Type: Mailing

  • 500 N SCOTT AVE

    WICHITA FALLS, TX 763066760

    Phone: (940) 228-1879

    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: 2025-10-22

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
I20251022000898IFamily PracticeTXTBD

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 79106)

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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: 8426482159View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerOK
Family PracticeTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical PsychologistTX
Internal MedicineTX
Mental Health CounselorTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

What unique ID ties claims to CALLIE RENAE TODD (MD)?
NPI 1710621735 is assigned to CALLIE RENAE TODD (MD) under the national enumeration system.
Is CALLIE RENAE TODD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CALLIE RENAE TODD (MD) treat or focus on?
Patients typically see CALLIE RENAE TODD (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CALLIE RENAE TODD (MD)?
The snapshot lists Amarillo, Texas for CALLIE RENAE TODD (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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