IVAN ROBERT NEPUSTIL MD
NPI 1407879463
Internal Medicine in Luling, TX
About Ivan Robert Nepustil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN ROBERT NEPUSTIL MD (NPI 1407879463) is an individual internal medicine provider in Luling, Texas, licensed in Texas (M6797) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Hays, and is a graduate of University Of Toledo College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Ivan Robert Nepustil 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ivan Nepustil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Luling, TX 78648
- Reassigned Medicare billing, Texas enrollment
- 101 clinicians in this Medicare group
Kyle, TX 78640
- Reassigned Medicare billing, Texas enrollment
- 1,188 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Seton Hays
Acute Care Hospitals · Kyle, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ivan Nepustil's NPI number?
The NPI number for Ivan Nepustil is 1407879463. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Ivan Nepustil located?
Ivan Nepustil practices at 130 Hays St Ste D, Luling, TX 78648. The listed phone number is (830) 875-3445.
What is Ivan Nepustil's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ivan Nepustil enrolled in Medicare?
Yes. Ivan Nepustil 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 Ivan Nepustil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Nepustil reassigns Medicare benefits to 2 organizations: Ascension Seton (Luling, TX) and Seton Family Of Doctors (Kyle, TX). 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 Ivan Nepustil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivan Nepustil accept?
Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Ivan Nepustil 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 Ivan Nepustil affiliated with any hospitals?
According to CMS data, Ivan Nepustil is affiliated with Ascension Seton Hays.
When was this NPI record last updated?
The NPPES record for Ivan Nepustil was last updated on June 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ivan Robert Nepustil, MD · NPI 1407879463
Internal Medicine physician in Luling, Texas. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1407879463 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** M6797 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 HAYS ST STE D, Luling, TX 78648-3207
- **Phone:** (830) 875-3445
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Ascension Seton (NPI 1215118609, Luling, TX); Seton Family Of Doctors (NPI 1730412388, Kyle, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** June 13, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 5N818; Medicare UPIN F12499; Medicaid 1921874 (LA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1407879463) · Data from the CMS NPPES public registry.