DR. ARTHUR H TOUPS M.D.
NPI 1124339882
Family Medicine in Big Stone Gap, VA

Q: 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.

Q: What is Arthur Toups's specialty?

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

Q: 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 7 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.

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment

1990 HOLTON AVE E, BIG STONE GAP, VA 24219(276) 523-3111 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2018, Aug 17, 2018 (2 updates tracked since 2018).

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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

NPI1124339882

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ARTHUR H TOUPSCredential: M.D.

Location Address1990 HOLTON AVE EBig Stone Gap, VA 24219

Mailing Address415 Broad St, Suite 410Kingsport, TN 37660-4263 · (423) 239-9737 · Fax (423) 398-5500

Phone(276) 523-3111

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 28, 2010

Last NPPES UpdateOctober 10, 20182 updates tracked since enumeration

✔ NPI 1124339882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101253190

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 300636 (LA)

1990 HOLTON AVE E, Big Stone Gap, VA 24219

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Secondary Practice Location 1

Location 1135 Highway 402Napoleonville, LA 70390-2217 · Phone (504) 369-3600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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. 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.

PECOS PAC ID6507002219

PECOS Enrollment IDI20160106001105

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

99 services95 patients

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, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190008

Location8166 Main StreetHouma, LA 70360 · Terrebonne County

Emergency services Birthing friendly

Ochsner St Mary

Acute Care Hospitals · Morgan City, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190014

Location1125 Marguerite StreetMorgan City, LA 70380 · St. Mary County

Emergency services

Physician 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.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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

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

Iv pole E0776

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.06 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.

MRS. CHRISTY RHEA SWINNEY MSN, FNP-BC

Nurse Practitioner (Family)