DR. ARTHUR H TOUPS M.D.
NPI 1124339882
Family Medicine in Big Stone Gap, VA
About Dr. Arthur H Toups M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ARTHUR H TOUPS M.D. (NPI 1124339882) is an individual family medicine provider in Big Stone Gap, Virginia, licensed in Virginia (0101253190) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and maintains a secondary practice location in Napoleonville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Arthur H Toups 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.
Medicare Billing Reassignments
7Medicare enrollment records show Arthur Toups reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Providence, LA 71254
- Reassigned Medicare billing, Louisiana enrollment
- 78 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 133 clinicians in this Medicare group
Greensburg, LA 70441
- Reassigned Medicare billing, Louisiana enrollment
- Also billed through NPI 1588614036 (Louisiana)
- 39 clinicians in this Medicare group
Houma, LA 70360
- Reassigned Medicare billing, Louisiana enrollment
- 76 clinicians in this Medicare group
Houma, LA 70360
- Reassigned Medicare billing, Louisiana enrollment
- 168 clinicians in this Medicare group
Mamou, LA 70554
- Reassigned Medicare billing, Louisiana enrollment
- 42 clinicians in this Medicare group
Franklin, LA 70538
- Reassigned Medicare billing, Louisiana enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Terrebonne General Medical Center - Parish
Acute Care Hospitals · Houma, LAOchsner St Mary
Acute Care Hospitals · Morgan City, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BIG STONE GAP, VA 24219
BIG STONE GAP, VA 24219
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 Arthur Toups's NPI number?
The NPI number for Arthur Toups is 1124339882. It was assigned to this individual provider in the NPPES registry on June 28, 2010.
Where is Arthur Toups located?
Arthur Toups practices at 1990 Holton Ave E, Big Stone Gap, VA 24219. The listed phone number is (276) 523-3111.
What is Arthur Toups's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Arthur Toups enrolled in Medicare?
Yes. Arthur Toups 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.
Which organizations bill Medicare for Arthur Toups's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Toups reassigns Medicare benefits to 7 organizations: East Carroll Parish Hospital (Lake Providence, LA), Correct Care, Inc. (Covington, LA), St Helena Parish Hospital (Greensburg, LA), Paeon Health Services Inc (Houma, LA), Physician Practice Partners (Houma, LA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Toups's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Arthur Toups accept?
Health plans from HMO Louisiana and UnitedHealthcare list Arthur Toups 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 Arthur Toups affiliated with any hospitals?
According to CMS data, Arthur Toups is affiliated with Terrebonne General Medical Center - Parish and Ochsner St Mary.
When was this NPI record last updated?
The NPPES record for Arthur Toups was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Arthur H Toups, M.D. · NPI 1124339882
Family Medicine physician in Big Stone Gap, Virginia. Individual provider, active in the CMS NPPES registry since June 28, 2010.
## Identity
- **NPI:** 1124339882 (Entity type: Individual)
- **Enumerated:** June 28, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101253190 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1990 HOLTON AVE E, Big Stone Gap, VA 24219
- **Phone:** (276) 523-3111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): East Carroll Parish Hospital (NPI 1710966478, Lake Providence, LA); Correct Care, Inc. (NPI 1215987441, Covington, LA); St Helena Parish Hospital (NPI 1013068808, Greensburg, LA); Paeon Health Services Inc (NPI 1568985612, Houma, LA); Physician Practice Partners (NPI 1326598434, Houma, LA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 10, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1124339882) · Data from the CMS NPPES public registry.