DAVID LAWRENCE TOUPS MD
NPI 1992738827
Emergency Medicine in Hammond, LA
NPI Status: Active since July 07, 2006
Contact Information
15790 PAUL VEGA MD DR
FINANCE DEPARTMENT
HAMMOND, LA
ZIP 70403
Phone: (985) 230-1369
Fax: (985) 230-1368
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID TOUPS
This page provides the complete NPI Profile along with additional information for David Toups, a provider established in Hammond, Louisiana with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1992738827 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD.020689 (LA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1992738827
- Provider Name
- DAVID LAWRENCE TOUPS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15790 PAUL VEGA MD DR FINANCE DEPARTMENT HAMMOND, LA 70403
- Location Phone
- (985) 230-1369
- Location Fax
- (985) 230-1368
- Mailing Address
- PO BOX 2668 HAMMOND, LA 70404
- Mailing Phone
- (985) 230-1369
- Mailing Fax
- (985) 230-1368
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 04-29-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD.020689
- License State
- LA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 930081291 | OTHER (01) | RR MEDICARE NUMBER | |
| 5L980 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 1399396 | MEDICAID (05) | LA | |
| E35988 | MEDICARE UPIN (02) | ||
| 01006092 | MEDICAID (05) | MS |
Medicare Participation & PECOS Enrollment Status
David Toups is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
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.
This service was performed 16 times for 16 patientsAn 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.
This service was performed 160 times for 157 patientsAn 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.
This service was performed 42 times for 41 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 30 times for 30 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70403 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $20.9
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 7 | 3 | 8 | 8 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 14 | 3 | 16 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 4 + 3 + 1 + 6 + 8 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1992738827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154326767 | LAURENCE MICHAEL MAY, MD, APMC Organization | Anesthesiology | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 345-8867 |
| 1932161064 | MR. JAMES LOUIS NELSON MD Individual | Surgery | 15790 PAUL VEGA MD DR NORTH OAKS HEALTH SYSTEM HAMMOND, LA 70403 (985) 230-7755 |
| 1023072337 | MARK EDWIN KOEPP RN, CRNA Individual | Nurse Anesthetist, Certified Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6685 |
| 1811951189 | MRS. SYM CUSIMANO RANKIN CRNA Individual | Nurse Anesthetist, Certified Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6685 |
| 1447214713 | MICHAEL JOSEPH SCHANZBACH CRNA Individual | Nurse Anesthetist, Certified Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6685 |
| 1417911439 | LEONARD JOHN GONZALES JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6685 |
| 1326003294 | MRS. VIRGINIA ANNE PELEGRIN MPH,LDN,RD Individual | Dietitian, Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6548 |
| 1558327494 | MRS. KAREN ELAINE PURVIS LDN, RD Individual | Dietitian, Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6772 |
| 1912939380 | MS. MARGARET LYNN MILLER RN,RD,CDE Individual | Dietitian, Registered | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6117 |
| 1033132600 | SANDRA J CAPPS APRN, RN Individual | Nurse Practitioner | 15790 PAUL VEGA MD DR REVENUE MANAGEMENT DEPARTMENT HAMMOND, LA 70403 (985) 230-1682 |
| 1215010483 | MRS. MARCIA HIRSCH BREWTON NNP Individual | Nurse Practitioner | 15790 PAUL VEGA MD DR FINANCE DEPARTMENT HAMMOND, LA 70403 (985) 230-6534 |
| 1477638831 | DENNIS JEFFREY MORRIS MD Individual | Emergency Medicine | 15790 PAUL VEGA MD DR FINANCE DEPARTMENT HAMMOND, LA 70403 (985) 230-6534 |
| 1649479676 | NORTH OAKS ANESTHESIOLOGY ASSOCIATES LLC Organization | Anesthesiology | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 902-9763 |
| 1184816647 | MRS. PEGGY ROBERTSON VARNADO CST,CFA Individual | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6610 | |
| 1780868612 | NORTH OAKS MEDICAL CENTER, LLC Organization | General Acute Care Hospital | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-1682 |
| 1255582482 | MS. REBECCA PRUDHOMME HAIR R.D., L.D.N., B.S. Individual | Dietitian, Registered | 15790 PAUL VEGA MD DR FINANCE DEPARTMENT HAMMOND, LA 70403 (985) 230-6548 |
| 1619113875 | HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA Organization | General Acute Care Hospital | 15790 PAUL VEGA MD DR FINANCE DEPARTMENT HAMMOND, LA 70403 (985) 230-6939 |
| 1467695379 | NORTH OAKS MEDICAL CENTER, LLC Organization | General Acute Care Hospital | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-2199 |
| 1902049810 | NORTH OAKS MEDICAL CENTER, LLC Organization | General Acute Care Hospital | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6939 |
| 1043442866 | MR. GEORGE JOSEPH ROME III N.N.P. Individual | Nurse Practitioner (Neonatal) | 15790 PAUL VEGA MD DR HAMMOND, LA 70403 (985) 230-6316 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992738827, enumerated in the NPI registry as an "individual" on July 07, 2006
The provider is located at 15790 Paul Vega Md Dr Finance Department Hammond, La 70403 and the phone number is (985) 230-1369
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.6 with an average copayment of $20.9 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.
This NPI record was last updated on July 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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