1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Obstetrics Gynecology
  6. NPI Profile

DR. JOHN JOSEPH THOPPIL MD
NPI 1336138064
Obstetrics & Gynecology in Austin, TX

Active since October 15, 2005PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
6611 RIVER PLACE BLVD, SUITE 202, AUSTIN, TX 78730(512) 473-8300(512) 605-3800 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Joseph Thoppil Md NPPES

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

DR. JOHN JOSEPH THOPPIL MD (NPI 1336138064) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (M9698) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2001).

NPPES Registry Identity

NPI1336138064
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN JOSEPH THOPPILCredential: MD
Location Address6611 RIVER PLACE BLVD, SUITE 202Austin, TX 78730-1162
Mailing Address6611 River Place Blvd, Suite 202Austin, TX 78730-1162 · (512) 473-8300 · Fax (512) 605-3800
Phone(512) 473-8300
Fax(512) 605-3800
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2001
Enumeration DateOctober 15, 2005
Last NPPES UpdateAugust 4, 2014
✔ NPI 1336138064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M9698
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6611 RIVER PLACE BLVD, Austin, TX 78730
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN271480TX
Medicaid314774601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. John Joseph Thoppil 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 ID9830248244
PECOS Enrollment IDI20090514000054
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 2

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
14 services14 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78730 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost53.51

Reported Quality Measures

Breast Cancer Screening
85%261 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%2,186 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
82%77 patients4/55-star benchmark: 91%
e-Prescribing
100%690 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%1,847 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%3,569 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 2,112 patients
0%2,112 patients
Provide Patients Electronic Access to Their Health Information
99%1,544 patients4/55-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.

SHELLY COX LCSW
Social Worker (Clinical)
6611 RIVER PLACE BLVD, SUITE 203
AUSTIN, TX 78730
Travis County (512) 997-8552
ROBERT P WILLS MD PLLC
Pain Medicine (Interventional Pain Medicine)
6611 RIVER PLACE BLVD, SUITE 300
AUSTIN, TX 78730
Travis County (512) 416-7246
KRISTY ARMER MS, CCC-SLP
Speech-Language Pathologist
6611 RIVER PLACE BLVD
AUSTIN, TX 78730
Travis County (512) 653-7570
REBECCA H SHEEHAN MA, LPC, LCDC
Counselor (Professional)
6611 RIVER PLACE BLVD, SUITE 203
AUSTIN, TX 78730
Travis County (512) 438-9152
CULTIVATE BEHAVIORAL HEALTH AND EDUCATION
Behavior Technician
6611 RIVER PLACE BLVD
AUSTIN, TX 78730
Travis County (937) 626-6180
NEUROCOGNITIVE ASSESSMENT CENTER, PLLC
Clinical Neuropsychologist
6611 RIVER PLACE BLVD, STE 203
AUSTIN, TX 78730
Travis County (512) 827-8406
RIVERPLACE OBGYN PA
Obstetrics & Gynecology
6611 RIVER PLACE BLVD, SUITE 202
AUSTIN, TX 78730
Travis County (512) 473-8300
LITTLE RIVER HEALTHCARE CENTRAL TEXAS, LLC
General Practice
6611 RIVER PLACE BLVD, SUITE 302
AUSTIN, TX 78730
Travis County (512) 467-1100

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 Thoppil's NPI number?

The NPI number for John Thoppil is 1336138064. It was assigned to this individual provider in the NPPES registry on October 15, 2005.

Where is John Thoppil located?

John Thoppil practices at 6611 River Place Blvd Suite 202, Austin, TX 78730. The listed phone number is (512) 473-8300.

What is John Thoppil's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Thoppil enrolled in Medicare?

Yes. John Thoppil 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 Thoppil 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 6 other insurers list John Thoppil 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.

When was this NPI record last updated?

The NPPES record for John Thoppil was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.