DR. TODD RICE D.P.M.
NPI 1023218666
Podiatrist - Foot & Ankle Surgery in Media, PA


Quality Rating: 71.73 out of 100 score

NPI Status: Active since July 23, 2007

Contact Information

101 N MONROE ST
MEDIA, PA
ZIP 19063
Phone: (610) 595-3668
Fax: (610) 565-9722

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  • Individual
  • Male
  • Years of Experience 23
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About TODD RICE

This page provides the complete NPI Profile along with additional information for Todd Rice, a provider established in Media, Pennsylvania with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1023218666 assigned on July 2007. The practitioner's primary taxonomy code is 213ES0103X with license number SC005712 (PA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1023218666
Provider Name
DR. TODD RICE D.P.M.
Gender
Male
Entity Type
Individual
Location Address
101 N MONROE ST MEDIA, PA 19063
Location Phone
(610) 595-3668
Location Fax
(610) 565-9722
Mailing Address
101 N MONROE ST MEDIA, PA 19063
Mailing Phone
(610) 595-3668
Mailing Fax
(610) 565-9722
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
07-23-2007
Last Update Date
08-10-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
SC005712
License State
PA

Medicare Participation & PECOS Enrollment Status

Todd Rice is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Todd Rice is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729187075

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070627000212

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF003N)

    Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4361)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from medium joint

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

This service was performed 27 times for 22 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 51 times for 41 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 488 times for 253 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 26 times for 22 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 135 times for 135 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 11 times for 11 patients

Removal of fingernails or toenails, 1-5 nails

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

This service was performed 85 times for 43 patients

Removal of fingernails or toenails, 6 or more nails

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

This service was performed 120 times for 71 patients

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less

This procedure involves the removal of a small, noncancerous growth on the scalp, neck, hands, or feet. It's typically a quick process and involves a minor surgical technique to excise the growth, which is half a centimeter or smaller in size.

This service was performed 46 times for 30 patients

Removal of noncancer thickened skin growth, 1 growth

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

This service was performed 68 times for 49 patients

Removal of noncancer thickened skin growth, 2-4 growths

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

This service was performed 42 times for 36 patients

Removal of noncancer thickened skin growth, more than 4 growths

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

This service was performed 46 times for 32 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 32 times for 23 patients

Removal of tissue from wound, 20.0 sq cm or less

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

This service was performed 94 times for 65 patients

Simple separation of fingernail or toenail from nail bed, first nail

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

This service was performed 39 times for 38 patients

X-ray of ankle, minimum of 3 views

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

This service was performed 14 times for 14 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 174 times for 113 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 71.73, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 71.73 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 70.84

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 44.65

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 44.65

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Pneumococcal Vaccination Status for Older Adults 92% 314
Preventive Care and Screening: Influenza Immunization 86% 213
Screening for Osteoporosis for Women Aged 65-85 Years of Age 64% 169

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Todd Rice is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PHOENIXVILLE HOSPITAL140 NUTT ROAD
PHOENIXVILLE, PA 19460
(610) 983-1000Acute Care Hospitals
CROZER CHESTER MEDICAL CENTERONE MEDICAL CENTER BOULEVARD
UPLAND, PA 19013
(610) 447-2000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023218666
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20434116612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 4 + 1 + 1 + 6 + 6 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1023218666 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881663011MR. DOUGLAS BRYAN KLEIN P.T.
Individual
Physical Therapist101 N MONROE ST 2ND FLOOR
MEDIA, PA 19063
(484) 444-0135
1215960281MR. MICHAEL TODD GROH P.T.
Individual
Physical Therapist101 N MONROE ST 2ND FLOOR
MEDIA, PA 19063
(484) 444-0135
1891095568ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES INC.
Organization
Physical Therapist101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1255376307HEALTHMARK FOOT AND ANKLE ASSOCIATES, P.C.
Organization
Podiatrist (Foot & Ankle Surgery)101 N MONROE ST
MEDIA, PA 19063
(610) 565-3668
1043645948MAIN LINE HAND CENTER LLC
Organization
Physical Therapist (Orthopedic)101 N MONROE ST SECOND FLOOR
MEDIA, PA 19063
(484) 444-0135
1154753838 SHERI L HIHN PT
Individual
Physical Therapist (Orthopedic)101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1013349794MISS STEPHANIE FRITSCH PT, DPT
Individual
Physical Therapist (Orthopedic)101 N MONROE ST SECOND FLOOR
MEDIA, PA 19063
(484) 444-0135
1568922631 JOHN HELVIE
Individual
Physical Therapist (Orthopedic)101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1912992991 NICHOLAS M ROMANSKY DPM
Individual
Podiatrist (Foot & Ankle Surgery)101 N MONROE ST
MEDIA, PA 19063
(610) 565-3668
1164417143 DAVID C ERFLE DPM
Individual
Podiatrist (Foot & Ankle Surgery)101 N MONROE ST
MEDIA, PA 19063
(610) 565-3668
1225357064 COLIN P FLANNERY D.P.M
Individual
Podiatrist (Foot & Ankle Surgery)101 N MONROE ST
MEDIA, PA 19063
(610) 565-3668
1568495695LEADING EDGE PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Organization
Physical Therapist101 N MONROE ST 2ND FLOOR
MEDIA, PA 19063
(484) 444-0135
1699378059PACE FOOT AND ANKLE CENTERS PLLC
Organization
Durable Medical Equipment & Medical Supplies101 N MONROE ST
MEDIA, PA 19063
(610) 565-3668
1013682517 JOSHUA CHRISTOPHER PROCTOR
Individual
Physical Therapist (Orthopedic)101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1619647351 TYLER HASTINGS
Individual
Physical Therapist (Orthopedic)101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1598937070DR. STEPHEN S SOONDAR D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)101 N MONROE ST
MEDIA, PA 19063
(610) 565-3668
1134870579 KRISTEN KONIECZNY
Individual
Physical Therapist (Orthopedic)101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1881042166MISS JESSICA WADE DPT
Individual
Physical Therapist (Orthopedic)101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135
1952141822 KALEE BIGLIN DPT
Individual
Physical Therapist101 N MONROE ST
MEDIA, PA 19063
(484) 444-0135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023218666, enumerated in the NPI registry as an "individual" on July 23, 2007

The provider is located at 101 N Monroe St Media, Pa 19063 and the phone number is (610) 595-3668

The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider has more than 23 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The provider obtained a high score in the following performance measures: Pneumococcal Vaccination Status for Older Adults , Preventive Care and Screening: Influenza Immunization. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from medium joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Injection into tendon or ligament, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of fingernails or toenails, 1-5 nails, Removal of fingernails or toenails, 6 or more nails, Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less, Removal of noncancer thickened skin growth, 1 growth, Removal of noncancer thickened skin growth, 2-4 growths, Removal of noncancer thickened skin growth, more than 4 growths, Removal of skin and tissue, 20.0 sq cm or less, Removal of tissue from wound, 20.0 sq cm or less, Simple separation of fingernail or toenail from nail bed, first nail, X-ray of ankle, minimum of 3 views and X-ray of foot, minimum of 3 views.

The practitioner is affiliated to the following hospital(s): PHOENIXVILLE HOSPITAL and CROZER CHESTER MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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