DR. TERRI ELDICA TOBIAS MD
NPI 1902366461
Emergency Medicine in Houston, TX

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(973) 489-3691 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2022, May 17, 2022, Mar 21, 2019 (3 updates tracked since 2019).

About Dr. Terri Eldica Tobias Md NPPES

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

DR. TERRI ELDICA TOBIAS MD (NPI 1902366461) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (T7060) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902366461
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. TERRI ELDICA TOBIASCredential: MD
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address7200 Cambridge St Fl 10Houston, TX 77030-4202 · (713) 798-1750 · Fax (713) 798-4693
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
NPI 1902366461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · T7060
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1504 TAUB LOOP, Houston, TX 77030

Secondary Practice Locations 2

Location 1201 Lyons AveNewark, NJ 07112-2027 · Phone (973) 926-6671
Location 27200 Cambridge St Fl 10Houston, TX 77030-4202 · Phone (713) 798-1750 ext. 2 · Fax (713) 798-4693

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. Terri Eldica Tobias 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 ID143607143
PECOS Enrollment IDI20250331001725, I20250530000303
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
169 services165 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
98 services95 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
1504 TAUB LOOP
HOUSTON, TX 77030
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030

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 Terri Tobias's NPI number?

The NPI number for Terri Tobias is 1902366461. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Terri Tobias located?

Terri Tobias practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (973) 489-3691.

What is Terri Tobias's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Terri Tobias enrolled in Medicare?

Yes. Terri Tobias 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 Terri Tobias accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Terri Tobias 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 Terri Tobias affiliated with any hospitals?

According to CMS data, Terri Tobias is affiliated with Cumberland Medical Center and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Terri Tobias was last updated on November 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.