Active NPI 1063702876 Individual Practitioner Male Practitioner

Dr. Theodore Carroll Klem , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Klem, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 15 years of clinical experience since graduating from Medical College Of Wisconsin in 2011, Dr. Klem delivers high-quality medical care to the local community at 9433 BEE CAVES RD.

Dr. Klem is affiliated with Wellmed Networks, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9433 Bee Caves Rd
Building 3, Suite 103

Austin, TX 78733

Telephone 5126497515

Fax 5126491913

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -5.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Klem (15 Years) 15 Yrs

Austin Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$337.31	$165.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	109	$362.00	$187.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	148	143	$440.33	$191.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	31	$599.77	$99.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	12	$269.19	$68.73
99239 Hospital discharge day management, more than 30 minutes	24	24	$594.70	$102.08
99220 Hospital observation care, typically 70 minutes	14	14	$717.78	$174.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	159	155	$397.17	$199.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	17	$318.19	$103.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	11	$225.00	$71.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$260.60	$138.25
99220 Hospital observation care, typically 70 minutes	20	20	$418.00	$185.28
99239 Hospital discharge day management, more than 30 minutes	11	11	$332.00	$105.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	94	$562.30	$202.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	94	48	$311.70	$104.68
99239 Hospital discharge day management, more than 30 minutes	79	75	$320.75	$108.17
99220 Hospital observation care, typically 70 minutes	43	42	$674.14	$186.01
93000 Routine ekg using at least 12 leads including interpretation and report	32	31	$60.00	$17.32
99217 Hospital observation care on day of discharge	29	28	$219.84	$73.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$500.73	$166.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$44.30	$8.59
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	12	12	$663.33	$219.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$629.28	$208.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	112	$732.88	$198.46
99220 Hospital observation care, typically 70 minutes	59	56	$787.22	$180.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	23	$310.99	$102.93
99239 Hospital discharge day management, more than 30 minutes	43	42	$351.89	$106.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	26	$47.00	$8.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	16	$213.06	$71.37
99217 Hospital observation care on day of discharge	25	24	$222.79	$70.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$502.91	$134.31
99219 Hospital observation care, typically 50 minutes	19	19	$599.73	$127.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$328.65	$75.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	358	337	$543.72	$192.52
99220 Hospital observation care, typically 70 minutes	100	100	$492.90	$174.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	42	$252.62	$99.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	34	$174.72	$68.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	38	$23.10	$8.13
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	30	30	$586.00	$198.54
99291 Critical care, first 30-74 minutes	28	28	$604.21	$213.51
99238 Hospital discharge day management, 30 minutes or less	21	21	$170.86	$68.58
99239 Hospital discharge day management, more than 30 minutes	17	17	$216.29	$100.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$393.00	$130.13
99217 Hospital observation care on day of discharge	15	14	$154.13	$68.47

Medical Specialties & State Licenses

CMS Verified: 2023-10-31

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q0485

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License ME MD23168

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX BP10039985

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

375277YLP1 (TX)

Commercial Insurance / Payer ID Medicare Ptan

375277YKXV (TX)

Commercial Insurance / Payer ID Medicare Ptan

375277YLP2 (TX)

Commercial Insurance / Payer ID Medicare Ptan

375277YKXY (TX)

Hospital & Practice Group Affiliations

Wellmed Networks, Inc.

4330 Medical Dr, San Antonio, TX 782293318

Phone: 2105580122

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Paul Jones , MD

Internal Medicine

NPI 1427370816

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location October 31, 2023

Registered at 9433 BEE CAVES RD, BUILDING 3, SUITE 103, AUSTIN, TX 78733 (Tel: 5126497515)

📍

Updated Business Mailing Address October 31, 2023

Registered at 9433 BEE CAVES RD, BUILDING 3, SUITE 103, AUSTIN, TX 78733 (Tel: 5126497515)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2023

Internal Medicine (License #MD23168 in ME)

📍

Updated Practice Location October 18, 2019

Registered at 35 MEDICAL CENTER PKWY, AUGUSTA, ME 043308160 (Tel: 2076261000)

✅

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2016

Registered at 810 W HIGHWAY 71, MARBLE FALLS, TX 786548602 (Tel: 8302017100)

📍

Updated Business Mailing Address August 05, 2016

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547242111)

👤

Provider Name / Credentials Updated August 05, 2016

Recorded as THEODORE KLEM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Internal Medicine (License #Q0485 in TX)

🟢

Initial NPI Registration & Enumeration April 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063702876

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2011

Last Update: October 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9433 Bee Caves Rd, Building 3, Suite 103

Austin, TX 78733

Phone: 5126497515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.