1. Home
  2. Directory
  3. Texas
  4. Live Oak
  5. Orthopaedic Surgery
  6. NPI Profile

DR. CHARLES STUART PIPKIN III M.D.
NPI 1780683144
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Live Oak, TX

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
89.32/100
CMS Quality Rating
12602 TOEPPERWEIN RD STE 212, LIVE OAK, TX 78233(210) 614-6432(210) 293-3908 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Dec 18, 2019, Aug 22, 2019 (3 updates tracked since 2019).

About Dr. Charles Stuart Pipkin Iii M.d. NPPES

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

DR. CHARLES STUART PIPKIN III M.D. (NPI 1780683144) is an individual orthopaedic surgery of the spine provider in Live Oak, Texas, licensed in Texas (G5485) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780683144
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. CHARLES STUART PIPKIN IIICredential: M.D.
Location Address12602 TOEPPERWEIN RD STE 212Live Oak, TX 78233-3271
Mailing Address9150 Huebner Rd Ste 290San Antonio, TX 78240-1598 · (210) 614-6432 · Fax (210) 293-3908
Phone(210) 614-6432
Fax(210) 293-3908
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1983
Enumeration DateJuly 19, 2005
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1780683144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · G5485
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G5485 (TX)
12602 TOEPPERWEIN RD STE 212, Live Oak, TX 78233
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1861 Landa StNew Braunfels, TX 78130-6115 · Phone (210) 614-6432 · Fax (210) 293-3908
Location 2251 Cully Dr Ste AKerrville, TX 78028-6084 · Phone (210) 614-6432 · Fax (210) 293-3908
Location 3134 Menger Spgs Ste 1210Boerne, TX 78006-7218 · Phone (210) 614-6432 · Fax (210) 293-3908

Other Identifiers 1

Medicaid1780683144TX

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. Charles Stuart Pipkin Iii 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 ID3779546510
PECOS Enrollment IDI20101115000072
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 7

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 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.
265 services185 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
176 services159 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
145 services145 patients
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.
138 services116 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
46 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.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

South Texas Spine And Surgical Hospital

Acute Care Hospitals · San Antonio, TX
OwnershipPhysician
CMS Certification Number450856
Location18600 North Hardy Oak BlvdSan Antonio, TX 78258 · Bexar County
Emergency services

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.

89.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.22
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Advance Care Plan
96%627 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
64%246 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
96%1,922 patients4/55-star benchmark: 100%
e-Prescribing
99%495 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%616 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
87%1,092 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 558 patients
Patients screened: 97% · 558 patients
98%52 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 96% · 495 patients
96%495 patients
Provide Patients Electronic Access to Their Health Information
84%386 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
18%348 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 630 patients
Patients totalRate: 10% · 639 patients
10%639 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

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

DR. PAUL T GEIBEL M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12602 TOEPPERWEIN RD STE 212
LIVE OAK, TX 78233
Bexar County (210) 614-6432

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 Charles Pipkin's NPI number?

The NPI number for Charles Pipkin is 1780683144. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Charles Pipkin located?

Charles Pipkin practices at 12602 Toepperwein Rd Ste 212, Live Oak, TX 78233. The listed phone number is (210) 614-6432.

What is Charles Pipkin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Charles Pipkin enrolled in Medicare?

Yes. Charles Pipkin 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 Charles Pipkin 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 Charles Pipkin 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 Charles Pipkin affiliated with any hospitals?

According to CMS data, Charles Pipkin is affiliated with Peterson Regional Medical Center, Baptist Medical Center, Guadalupe Regional Medical Center, Christus Santa Rosa Hospital-San Marcos and South Texas Spine And Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Charles Pipkin was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.