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IVAN ROBERT NEPUSTIL MD
NPI 1407879463
Internal Medicine in Luling, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
130 HAYS ST STE D, LULING, TX 78648(830) 875-3445 Get Directions Write a Review

NPPES record last updated: June 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Seton Smithville Regional Hospital, and is a graduate of University Of Toledo College Of Medicine (1989).

NPPES Registry Identity

NPI1407879463
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameIVAN ROBERT NEPUSTILCredential: MD
Location Address130 HAYS ST STE DLuling, TX 78648-3207
Mailing Address130 Hays St Ste DLuling, TX 78648-3207
Phone(830) 875-3445
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1989
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 13, 2015
✔ NPI 1407879463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M6797
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
130 HAYS ST STE D, Luling, TX 78648
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified5N818
Medicare UPINF12499
Medicaid1921874LA
Medicare PIN8K0944TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

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.

PECOS PAC ID4981784055
PECOS Enrollment IDI20071231000546
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.

Hospital Affiliations CMS Care Compare 2

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

Seton Smithville Regional Hospital

Acute Care Hospitals · Smithville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450143
Location1201 Hill Rd Attn: Fin DirSmithville, TX 78957 · Bastrop County
Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician 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.

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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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

Breast Cancer Screening
76%66 patients4/55-star benchmark: 93%
Cervical Cancer Screening
29%34 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
59%117 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
75%173 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
66%169 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
3%68 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%68 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%534 patients4/55-star benchmark: 100%
e-Prescribing
99%811 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%180 patients4/55-star benchmark: 100%
HIV Screening
2%113 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%283 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
30%212 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%121 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 33% · 248 patients
30%248 patients
Provide Patients Electronic Access to Their Health Information
78%198 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
93%129 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 179 patients
Patients totalRate: 10% · 186 patients
9%186 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims62 services$7.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims30 services$1.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$203.77 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

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

TABBATHA ZAMORA NP
Nurse Practitioner (Family)
130 HAYS ST STE D
LULING, TX 78648
Caldwell County (830) 875-7078

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.

What insurance does Ivan Nepustil accept?

Health plans from Blue Cross and Blue Shield of Texas, 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 Seton Smithville Regional Hospital and 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.