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DR. ANTHONY TOPARIS DO
NPI 1811317027
Family Medicine in Charleston, WV

Active since April 27, 2014PECOS EnrolledAccepts Medicare Assignment
99.28/100
CMS Quality Rating
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-4600(304) 388-4621 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2018, Jun 28, 2017 (2 updates tracked since 2017).

About Dr. Anthony Toparis Do NPPES

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

DR. ANTHONY TOPARIS DO (NPI 1811317027) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (3191) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1811317027
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTHONY TOPARISCredential: DO
Location Address3110 MACCORKLE AVE SECharleston, WV 25304
Mailing Address78 Presidio PointeCharleston, WV 25313-1537 · (304) 784-0585
Phone(304) 388-4600
Fax(304) 388-4621
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014
Enumeration DateApril 27, 2014
Last NPPES UpdateJuly 20, 20182 updates tracked since enumeration
✔ NPI 1811317027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 3191
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3110 MACCORKLE AVE SE, Charleston, WV 25304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Dr. Anthony Toparis Do 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 ID2062631351
PECOS Enrollment IDI20170809000439
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Anthony Toparis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Area Medical Center, Inc.
1.7 mi
Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1750166898 (304) 344-3551
Ths Physician Partners Inc
6.8 mi
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 clinicians in this Medicare group
NPI 1871866806 (304) 414-4800
Apogee Medical Group, West Virginia, PLLC
40 mi
General Practice
20 HOSPITAL DR
Logan, WV 25601
  • Reassigned Medicare billing, West Virginia enrollment
  • 113 clinicians in this Medicare group
NPI 1669708442 (304) 831-1643
St Mary's Hospitalist Services, LLC
44 mi
Internal Medicine
2900 1ST AVE RM 1025
Huntington, WV 25702
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: St Marys Hospitalist Services LLC
  • 94 clinicians in this Medicare group
NPI 1942432687 (304) 399-7484

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
234 services94 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.
161 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services76 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.
71 services66 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

99.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.4
Improvement Activities40
Cost81.08

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers23 claims23 services$47.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.16 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers32 claims32 services$912.53 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$45.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$118.60 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier25 claims25 services$27.16 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.

DR. KARINNA HOPE ANDREWS D.O.
Obstetrics & Gynecology
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-2068
TERESA GAYLE WAUGH RN, CDE
Registered Nurse (Diabetes Educator)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5555
ADAM THOMAS CRAWFORD D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170
BRITTAIN MCJUNKIN MD
Internal Medicine (Gastroenterology)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1300
DR. EMILY A.P. MONTGOMERY M.D.
Obstetrics & Gynecology
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1300
DR. ROBERT MYLES AUSTIN D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170
MOHAMED ABDELFATTAH AHMED ARAFA M.D
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-1000
AMOS MART LANE D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170

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 Anthony Toparis's NPI number?

The NPI number for Anthony Toparis is 1811317027. It was assigned to this individual provider in the NPPES registry on April 27, 2014.

Where is Anthony Toparis located?

Anthony Toparis practices at 3110 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-4600.

What is Anthony Toparis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Toparis enrolled in Medicare?

Yes. Anthony Toparis 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 Anthony Toparis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Toparis reassigns Medicare benefits to 4 organizations: Charleston Area Medical Center, Inc. (Charleston, WV), Ths Physician Partners Inc (South Charleston, WV), Apogee Medical Group, West Virginia, PLLC (Logan, WV) and St Mary's Hospitalist Services, LLC (Huntington, WV). 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 Anthony Toparis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Toparis accept?

Health plans from CareSource and Molina Healthcare list Anthony Toparis 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 Anthony Toparis affiliated with any hospitals?

According to CMS data, Anthony Toparis is affiliated with St Mary's Medical Center and Logan Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Toparis was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.