Individual provider Active NPI

Charles Stuart Pipkin III, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Live Oak, TX
National Provider Identifier
1780683144
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G5485 Issued in TX
Practice address
12602 Toepperwein Rd Ste 212
Live Oak, TX 78233-3271
Phone
(210) 614-6432
Fax
(210) 293-3908
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G5485 TX Primary
Orthopaedic Surgery Physician 207X00000X G5485 TX

Addresses

Primary practice location

12602 Toepperwein Rd Ste 212
Live Oak, TX 78233-3271

Mailing address

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone (210) 614-6432

Other practice location 1

861 Landa St
New Braunfels, TX 78130-6115
Phone (210) 614-6432

Other practice location 2

251 Cully Dr Ste A
Kerrville, TX 78028-6084
Phone (210) 614-6432

Other practice location 3

134 Menger Spgs Ste 1210
Boerne, TX 78006-7218
Phone (210) 614-6432

Other identifiers 1

IdentifierTypeStateIssuer
1780683144MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000072 TX Practitioner - Orthopedic Surgery 3779546510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Spinal Clinic, P.a.Group PAC ID 3274501804, 19 clinicians

Practice addresses (Care Compare)

12602 Toepperwein Rd
Suite 212
Live Oak, TX 78233-3271
Phone (210) 657-6948

Hospital & facility affiliations

  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • South Texas Spine and Surgical Hospital Hospital, San Antonio, TX, CCN 450856
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as individual
Quality
87.22
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G5485TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Spinal Clinic, P.a. Orthopaedic Surgery CurrentSince Oct 12, 1990 Accepting new patients
South Texas Spinal Clinic, P.a. Orthopaedic Surgery CurrentSince Oct 12, 1990 Accepting new patients

Locations

134 Menger Spgs
Ste 1210
Boerne, TX 78006
Phone (210) 495-8280

251 Cully Dr
Ste A
Kerrville, TX 78028
Phone (210) 920-8945

12602 Toepperwein Rd
Ste 212
Live Oak, TX 78233
Phone (210) 664-4720

861 Landa St
New Braunfels, TX 78130
Phone (210) 546-1460

18626 Hardy Oak Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 293-2922

9150 Huebner Rd
Ste 290
San Antonio, TX 78240
Phone (210) 615-3566

2003 Medical Pkwy
Ste A
San Marcos, TX 78666
Phone (512) 392-5359

Interoperability endpoints

  • Direct secure messaging: c.stuart.pipkin.1@935.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1780683144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 212",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333271",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 Landa St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306115",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Cully Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780286084",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Menger Spgs Ste 1210",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780067218",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPKIN",
        "first_name": "CHARLES",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G5485",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G5485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780683144",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.