DR. JEAN M TOPPIN M.D.
NPI 1750359402
Internal Medicine in Durham, NC

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704(919) 477-6900 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2022, Oct 25, 2020, Oct 15, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Jean M Toppin M.d. NPPES

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

DR. JEAN M TOPPIN M.D. (NPI 1750359402) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (2007-01499) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2000).

NPPES Registry Identity

NPI1750359402
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEAN M TOPPINCredential: M.D.
Location Address4205 BEN FRANKLIN BLVDDurham, NC 27704-2143
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2000
Enumeration DateMarch 9, 2006
Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
NPI 1750359402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2007-01499
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.
4205 BEN FRANKLIN BLVD, Durham, NC 27704

Other Identifiers 3

Medicaid5908314NC
OtherN01492SC · South Carolina Medicaid
Medicaid1750359402NC

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

Dr. Jean M Toppin M.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 ID2163413279
PECOS Enrollment IDI20071204000904
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 25

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
357 services226 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
303 services217 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
266 services205 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
252 services199 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
232 services196 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
204 services186 patients

Hospital Affiliations CMS Care Compare 3

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Referred Medical Equipment & Supplies CMS DME claims 6

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
11 suppliers42 claims104 services$6.00 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers16 claims96 services$19.81 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers16 claims16 services$57.53 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$15.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims90 services$2.50 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$50.34 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 20

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

Internal Medicine
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Internal Medicine
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Internal Medicine
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Physician Assistant
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Physician Assistant
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Internal Medicine
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Internal Medicine
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704
Internal Medicine
4205 BEN FRANKLIN BLVD
DURHAM, NC 27704

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 Jean Toppin's NPI number?

The NPI number for Jean Toppin is 1750359402. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Jean Toppin located?

Jean Toppin practices at 4205 Ben Franklin Blvd, Durham, NC 27704. The listed phone number is (919) 477-6900.

What is Jean Toppin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jean Toppin enrolled in Medicare?

Yes. Jean Toppin 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 Jean Toppin accept?

Health plans from Blue Cross and Blue Shield of NC list Jean Toppin 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 Jean Toppin affiliated with any hospitals?

According to CMS data, Jean Toppin is affiliated with Duke University Hospital, Unc Hospitals and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jean Toppin was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.