TOSHITAKA HOPPO M.D. PH.D
NPI 1154589885
Surgery in Mc Murray, PA

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
138 GALLERY DR, MC MURRAY, PA 15317(412) 267-6290(412) 267-6291 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Oct 6, 2020 (2 updates tracked since 2020).

About Toshitaka Hoppo M.d. Ph.d NPPES

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

TOSHITAKA HOPPO M.D. PH.D (NPI 1154589885) is an individual surgery provider in Mc Murray, Pennsylvania, licensed in New Jersey (25MA12025400) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1154589885
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTOSHITAKA HOPPOCredential: M.D. PH.D
Location Address138 GALLERY DRMc Murray, PA 15317-2690
Mailing Address138 Gallery DrMc Murray, PA 15317-2690 · (412) 267-6290 · Fax (412) 267-6291
Fax(412) 267-6291
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 29, 2008
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1154589885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA12025400
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License MD433648 (PA)
138 GALLERY DR, Mc Murray, PA 15317

Other Identifiers 2

Medicaid2941320OH
Medicaid102166135-0002PA

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

Toshitaka Hoppo M.d. Ph.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 ID6608947643
PECOS Enrollment IDI20231121002759
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Toshitaka Hoppo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
160 GALLERY DR, SUITE 300
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Surgery
110 REHILL AVE
Somerville, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15317 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
138 GALLERY DR
MC MURRAY, PA 15317
Speech-Language Pathologist
138 GALLERY DR
MC MURRAY, PA 15317
Physician Assistant (Surgical)
138 GALLERY DR
CANONSBURG, PA 15317
Physician Assistant (Surgical)
138 GALLERY DR
MC MURRAY, PA 15317

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 Toshitaka Hoppo's NPI number?

The NPI number for Toshitaka Hoppo is 1154589885. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Toshitaka Hoppo located?

Toshitaka Hoppo practices at 138 Gallery Dr, Mc Murray, PA 15317. The listed phone number is (412) 267-6290.

What is Toshitaka Hoppo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Toshitaka Hoppo enrolled in Medicare?

Yes. Toshitaka Hoppo 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 Toshitaka Hoppo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toshitaka Hoppo reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Mc Murray, PA) and Rutgers Health-Rwj Neurosurgery Faculty (Somerville, NJ). 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 Toshitaka Hoppo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toshitaka Hoppo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Toshitaka Hoppo 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 Toshitaka Hoppo affiliated with any hospitals?

According to CMS data, Toshitaka Hoppo is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Toshitaka Hoppo was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.