JUSTIN PAUL TOUPS M.D.
NPI 1780877431
Internal Medicine - Gastroenterology in Thibodaux, LA

Q: What is Justin Toups's NPI number?

The NPI number for Justin Toups is 1780877431. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Q: What is Justin Toups's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Justin Toups was last updated on September 26, 2013. 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.

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

602 N ACADIA RD, STE. 101, THIBODAUX, LA 70301(985) 446-1958(985) 446-0121 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justin Paul Toups M.d. NPPES

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

JUSTIN PAUL TOUPS M.D. (NPI 1780877431) is an individual gastroenterology provider in Thibodaux, Louisiana, licensed in Louisiana (202187) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2007).

NPPES Registry Identity

NPI1780877431

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJUSTIN PAUL TOUPSCredential: M.D.

Location Address602 N ACADIA RD, STE. 101Thibodaux, LA 70301-4847

Mailing Address602 N Acadia Rd, Ste. 101Thibodaux, LA 70301-4847 · (985) 446-1958 · Fax (985) 446-0121

Phone(985) 446-1958

Fax(985) 446-0121

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2007

Enumeration DateAugust 24, 2007

Last NPPES UpdateSeptember 26, 2013

✔ NPI 1780877431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in LA · 202187

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

602 N ACADIA RD, Thibodaux, LA 70301

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Other Identifiers 2

Medicare PIN5CR42LA

Medicaid1007382LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Justin Paul Toups 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 ID5698916781

PECOS Enrollment IDI20130801000518

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 16

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.

170 services149 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.

103 services103 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.

98 services92 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

88 services88 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

75 services75 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

73 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

56 services31 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.

40 services40 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

38 services12 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

36 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

34 services32 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

27 services27 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

24 services24 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

19 services19 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

17 services17 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190004

Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County

Emergency services Birthing friendly

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190008

Location8166 Main StreetHouma, LA 70360 · Terrebonne County

Emergency services Birthing friendly

Ochsner St Mary

Acute Care Hospitals · Morgan City, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190014

Location1125 Marguerite StreetMorgan City, LA 70380 · St. Mary County

Emergency services

Ochsner St Anne General Hospital

Critical Access Hospitals · Raceland, LA

OwnershipVoluntary non-profit - Other

CMS Certification Number191324

Location4608 Highway 1Raceland, LA 70394 · Lafourche County

Emergency services Birthing friendly

Lady Of The Sea General Hospital

Critical Access Hospitals · Cut Off, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191325

Location200 West 134th PlaceCut Off, LA 70345 · Lafourche County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

79.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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.

RYAN TRAHAN LAT,ATC

Specialist/Technologist (Athletic Trainer)

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (985) 493-4502

REBECCA ANN MELANCON NP

Nurse Practitioner (Neonatal, Critical Care)

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (985) 447-5500

CANDICE ESCHETE

Nurse Practitioner (Family)

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (985) 493-4727

JOHN JEROME TOSH M.D.

Emergency Medicine

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (504) 837-8000

CHARLES J MONIER JR. MD

Internal Medicine (Gastroenterology)

602 N ACADIA RD, SUITE 101
THIBODAUX, LA 70301

Lafourche Parish (985) 446-1958

DWAYNE ANDRAS NP

Nurse Practitioner (Acute Care)

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (985) 493-4740

SARAH ELLIOTT JENKINS

Nurse Anesthetist, Certified Registered

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (985) 447-5500

DR. BRADLEY BER I MD

Hospitalist

602 N ACADIA RD
THIBODAUX, LA 70301

Lafourche Parish (985) 447-5500

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 Justin Toups's NPI number?

The NPI number for Justin Toups is 1780877431. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Justin Toups located?

Justin Toups practices at 602 N Acadia Rd Ste. 101, Thibodaux, LA 70301. The listed phone number is (985) 446-1958.

What is Justin Toups's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Justin Toups enrolled in Medicare?

Yes. Justin Toups 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 Justin Toups accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Justin Toups 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 Justin Toups affiliated with any hospitals?

According to CMS data, Justin Toups is affiliated with Thibodaux Regional Medical Center, Terrebonne General Medical Center - Parish, Ochsner St Mary, Ochsner St Anne General Hospital and Lady Of The Sea General Hospital.

When was this NPI record last updated?

The NPPES record for Justin Toups was last updated on September 26, 2013. 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.