JOHN R TOMPKINS MD
NPI 1265453617
Neurological Surgery in Plano, TX

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1600 COIT RD STE 104, PLANO, TX 75075(972) 964-8500 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2019, Feb 5, 2016 (2 updates tracked since 2016).

About John R Tompkins Md NPPES

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

JOHN R TOMPKINS MD (NPI 1265453617) is an individual neurological surgery provider in Plano, Texas, licensed in Texas (K8850) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265453617
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOHN R TOMPKINSCredential: MD
Location Address1600 COIT RD STE 104Plano, TX 75075
Mailing Address1600 Coit Rd Ste 104Plano, TX 75075-6171 · (972) 964-8500 · Fax (972) 964-8556
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 1990
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
NPI 1265453617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · K8850
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSpecialistTaxonomy 174400000X · License K8850 (TX)
1600 COIT RD STE 104, Plano, TX 75075

Secondary Practice Locations 2

Location 14001 W 15th St, Ste. 455Plano, TX 75093-5841 · Phone (972) 964-8500 · Fax (972) 964-8556
Location 24510 Medical Center Dr Ste 301McKinney, TX 75069-1603 · Phone (972) 964-8500

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

John R Tompkins 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 ID4284716713
PECOS Enrollment IDI20080123000500
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 3

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 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.
136 services81 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%34 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%169 patients5/55-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 11

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

Psychiatry & Neurology (Vascular Neurology)
1600 COIT RD STE 104
PLANO, TX 75075
Orthopaedic Surgery
1600 COIT RD STE 104
PLANO, TX 75075
Neurological Surgery
1600 COIT RD STE 104
PLANO, TX 75075
Orthopaedic Surgery
1600 COIT RD STE 104
PLANO, TX 75075
Nurse Practitioner (Acute Care)
1600 COIT RD STE 104
PLANO, TX 75075
Psychiatry & Neurology (Neurology)
1600 COIT RD STE 104
PLANO, TX 75075
Orthopaedic Surgery
1600 COIT RD STE 104
PLANO, TX 75075
Orthopaedic Surgery
1600 COIT RD STE 104
PLANO, TX 75075

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 Tompkins's NPI number?

The NPI number for John Tompkins is 1265453617. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is John Tompkins located?

John Tompkins practices at 1600 Coit Rd Ste 104, Plano, TX 75075. The listed phone number is (972) 964-8500.

What is John Tompkins's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is John Tompkins enrolled in Medicare?

Yes. John Tompkins 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 Tompkins accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list John Tompkins 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 Tompkins affiliated with any hospitals?

According to CMS data, John Tompkins is affiliated with Hunt Regional Medical Center, Medical Center Of Mckinney and Medical City Plano.

When was this NPI record last updated?

The NPPES record for John Tompkins was last updated on March 18, 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.