Dr Arthur H Toups, MD - Medicare Family Practice in Big Stone Gap, VA

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Dr Arthur H Toups, MD is a medicare enrolled "Family Medicine" physician in Big Stone Gap, Virginia. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Paeon Health Services Inc, Physician Practice Partners and his current practice location is 1990 Holton Ave E, Big Stone Gap, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 523-3111.

Dr Arthur H Toups is licensed to practice in Virginia (license number 0101253190) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124339882.

Contact Information

Dr Arthur H Toups, MD
1990 Holton Ave E,
Big Stone Gap, VA 24219
(276) 523-3111
Not Available

Map and Direction




Physician's Profile

Full NameDr Arthur H Toups
GenderMale
SpecialityFamily Practice
Experience15 Years
Location1990 Holton Ave E, Big Stone Gap, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Arthur H Toups graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1124339882
  • Provider Enumeration Date: 06/28/2010
  • Last Update Date: 10/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6507002219
  • Enrollment ID: I20160106001105

Medical Identifiers

Medical identifiers for Dr Arthur H Toups such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124339882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 300636 (Louisiana)Secondary
207Q00000XFamily Medicine 0101253190 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Terrebonne General Medical CenterHouma, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paeon Health Services Inc115369772741
Physician Practice Partners418390974079

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Arthur H Toups allows following entities to bill medicare on his behalf.
Entity NameEast Carroll Parish Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982695441
PECOS PAC ID: 1153216619
Enrollment ID: O20040216000563
Entity NameCorrect Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20040816000150
Entity NameSt Helena Parish Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614036
PECOS PAC ID: 6901893205
Enrollment ID: O20070313000054
Entity NameSt Helena Parish Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588614036
PECOS PAC ID: 6901893205
Enrollment ID: O20100115000573
Entity NameSt Helena Parish Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1013068808
PECOS PAC ID: 6901893205
Enrollment ID: O20100115000596
Entity NameTeche Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356658884
PECOS PAC ID: 0547456295
Enrollment ID: O20101122000141
Entity NameSt Anne Er Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740699248
PECOS PAC ID: 0446472898
Enrollment ID: O20141119001509
Entity NameEvangeline Clinical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235510280
PECOS PAC ID: 3870805104
Enrollment ID: O20160223000852
Entity NamePhysician Practice Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326598434
PECOS PAC ID: 4183909740
Enrollment ID: O20170321002664
Entity NamePaeon Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568985612
PECOS PAC ID: 1153697727
Enrollment ID: O20171026000630

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Arthur H Toups is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Arthur H Toups, MD
415 Broad St, Suite 410,
Kingsport, TN 37660-4263

Ph: (423) 239-9737		Dr Arthur H Toups, MD
1990 Holton Ave E,
Big Stone Gap, VA 24219

Ph: (276) 523-3111

Reviews and Comments


Family Medicine Doctors in Big Stone Gap, VA

Bickley Craven, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1501 3rd Ave E, Big Stone Gap, VA 24219
Phone: 276-523-0599    Fax: 276-523-6480
Joshua Heath Dalton, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 East 27st N, Ste 2, Big Stone Gap, VA 24219
Phone: 276-523-5080    Fax: 276-523-5083
Eric Francis Hofmeister, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219
Phone: 276-679-1383    Fax: 276-679-1851
Dr. John Edward Strange, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1520 3rd Ave E, Big Stone Gap, VA 24219
Phone: 276-524-1906    Fax: 276-524-1908
Ashley Broadway Masterson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219
Phone: 276-523-3111    
Donald Arthur Olson, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Holten Ave E, Big Stone Gap, VA 24273
Phone: 276-393-2963    Fax: 276-679-6095
Rene L Brown, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219
Phone: 276-523-3111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.