DR. KEVIN S TOPPENBERG MD
NPI 1093726085
Family Medicine in Greeneville, TN

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
1410 TUSCULUM BLVD, SUITE 2600, GREENEVILLE, TN 37745(423) 787-7000 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin S Toppenberg Md NPPES

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

DR. KEVIN S TOPPENBERG MD (NPI 1093726085) is an individual family medicine provider in Greeneville, Tennessee, licensed in Tennessee (30267) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and is a graduate of Loma Linda University School Of Medicine (1994).

NPPES Registry Identity

NPI1093726085
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN S TOPPENBERGCredential: MD
Location Address1410 TUSCULUM BLVD, SUITE 2600Greeneville, TN 37745-4286
Mailing Address1410 Tusculum Blvd, Suite 2600Greeneville, TN 37745-4286 · (423) 787-7000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1994
Enumeration DateAugust 11, 2006
Last NPPES UpdateMarch 23, 2009
NPI 1093726085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 30267
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1410 TUSCULUM BLVD, Greeneville, TN 37745

Other Identifiers 1

Medicare UPING65945TN

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. Kevin S Toppenberg Md 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 ID4486686433
PECOS Enrollment IDI20070906000691
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 11

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.

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.
310 services134 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
85 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims60 services$3.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers14 claims14 services$14.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$4.98 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$51.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1410 TUSCULUM BLVD, SUITE 2300
GREENEVILLE, TN 37745
Optometrist
1410 TUSCULUM BLVD
GREENEVILLE, TN 37745
Specialist
1410 TUSCULUM BLVD, STE 1700
GREENEVILLE, TN 37745
Specialist
1410 TUSCULUM BLVD, STE 1800
GREENEVILLE, TN 37745
Audiologist
1410 TUSCULUM BLVD, SUITE 2500
GREENEVILLE, TN 37745
Internal Medicine (Hematology & Oncology)
1410 TUSCULUM BLVD, SUITE 2200
GREENEVILLE, TN 37745
Surgery
1410 TUSCULUM BLVD, SUITE 1700
GREENEVILLE, TN 37745
Internal Medicine
1410 TUSCULUM BLVD, SUITE 1700
GREENEVILLE, TN 37745

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 Kevin Toppenberg's NPI number?

The NPI number for Kevin Toppenberg is 1093726085. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Kevin Toppenberg located?

Kevin Toppenberg practices at 1410 Tusculum Blvd Suite 2600, Greeneville, TN 37745. The listed phone number is (423) 787-7000.

What is Kevin Toppenberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Toppenberg enrolled in Medicare?

Yes. Kevin Toppenberg 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 Kevin Toppenberg accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Kevin Toppenberg 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 Kevin Toppenberg affiliated with any hospitals?

According to CMS data, Kevin Toppenberg is affiliated with Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Toppenberg was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.