Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN DOUGLAS PAPPAS M.D.
NPI 1033110234
Internal Medicine - Cardiovascular Disease in Corpus Christi, TX

Active since August 10, 2005PECOS Enrolled
100/100
CMS Quality Rating
1521 S STAPLES ST STE 700, CORPUS CHRISTI, TX 78404(361) 888-8271(361) 885-3699 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2026, May 28, 2026, Dec 12, 2023 and 2 more (5 updates tracked since 2021).

About Dr. John Douglas Pappas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN DOUGLAS PAPPAS M.D. (NPI 1033110234) is an individual cardiovascular disease provider in Corpus Christi, Texas, licensed in Texas (H4600) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033110234
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN DOUGLAS PAPPASCredential: M.D.
Location Address1521 S STAPLES ST STE 700Corpus Christi, TX 78404-3160
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 606-6400 · Fax (903) 606-1522
Fax(361) 885-3699
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1987
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 2, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1033110234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · H4600
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License H4600 (TX)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License H4600 (TX)
1521 S STAPLES ST STE 700, Corpus Christi, TX 78404

Secondary Practice Locations 3

Location 12520 E Main St Ste 200Alice, TX 78332-4188 · Phone (361) 661-1360
Location 21311 E General Cavazos Blvd Ste BKingsville, TX 78363-7129 · Phone (361) 221-9341
Location 37121 S Padre Island Dr Ste 112Corpus Christi, TX 78412-4939 · Phone (361) 561-0032

Other Identifiers 1

Medicaid139911502TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Douglas Pappas M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274527650
PECOS Enrollment IDI20100209000321
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
629 services551 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
188 services161 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
184 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services144 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
164 services160 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
117 services114 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Christus Spohn Hospital Kleberg

Acute Care Hospitals · Kingsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450163
Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.45
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%1,056 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
41%37 patients2/55-star benchmark: 95%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
93%839 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,094 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%2,450 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
55%134 patients3/55-star benchmark: 98%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
93%823 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,945 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%1,497 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%1,433 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 536 patients
Patients tobacco: 43% · 46 patients
95%536 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,448 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%1,448 patients3/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
74%1,291 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,028 patients
3%1,028 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
1521 S STAPLES ST STE 700
CORPUS CHRISTI, TX 78404
Internal Medicine (Cardiovascular Disease)
1521 S STAPLES ST STE 700
CORPUS CHRISTI, TX 78404
Internal Medicine (Cardiovascular Disease)
1521 S STAPLES ST STE 700
CORPUS CHRISTI, TX 78404
Internal Medicine (Cardiovascular Disease)
1521 S STAPLES ST STE 700
CORPUS CHRISTI, TX 78404
Internal Medicine (Cardiovascular Disease)
1521 S STAPLES ST STE 700
CORPUS CHRISTI, TX 78404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Pappas's NPI number?

The NPI number for John Pappas is 1033110234. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is John Pappas located?

John Pappas practices at 1521 S Staples St Ste 700, Corpus Christi, TX 78404. The listed phone number is (361) 888-8271.

What is John Pappas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Pappas enrolled in Medicare?

Yes. John Pappas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Pappas accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list John Pappas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Pappas affiliated with any hospitals?

According to CMS data, John Pappas is affiliated with Christus Spohn Hospital Corpus Christi, Christus Spohn Hospital Kleberg and Corpus Christi Medical Center,the.

When was this NPI record last updated?

The NPPES record for John Pappas was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.