Active NPI 1174558605 Individual Practitioner Female Practitioner

Dr. Suma Gowda , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Suma Gowda, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Gowda delivers high-quality medical care to the local community at 1301 W 38TH ST, #205.

Dr. Gowda maintains professional affiliations with Usacs Integrated Acute Care Services Of Texas, Pllc, Seton Family Of Doctors, Aco Jason Martin Medical Consulting and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of 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

1301 W 38th St, #205

Austin, TX 787051011

Telephone 5123241864

Fax 5124199016

Associated Practice Facility / Clinic

🏢 Jason Martin Medical Consulting Llc Facility NPI 1295105377

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.2 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

82.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gowda (30 Years) 30 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	175	82	$702.72	$111.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	143	137	$1323.44	$162.72
99239 Hospital discharge day management, more than 30 minutes	115	110	$732.54	$108.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	48	$377.78	$75.13
99497 Advance care planning, first 30 minutes	71	67	$575.02	$71.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	12	$376.43	$102.53
99306 Initial nursing facility visit, typically 45 minutes per day	13	11	$551.46	$173.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	165	83	$675.96	$114.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	133	130	$1294.44	$166.79
99239 Hospital discharge day management, more than 30 minutes	105	102	$693.31	$109.92
99497 Advance care planning, first 30 minutes	52	50	$546.00	$72.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	32	$379.15	$76.01
99306 Initial nursing facility visit, typically 45 minutes per day	15	13	$470.73	$174.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	255	104	$677.82	$98.39
99239 Hospital discharge day management, more than 30 minutes	72	72	$682.05	$102.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	66	$1273.73	$187.93
99497 Advance care planning, first 30 minutes	49	48	$546.68	$74.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	19	$173.43	$87.06
99220 Hospital observation care, typically 70 minutes	37	37	$1120.76	$170.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	13	$155.00	$87.21
99217 Hospital observation care on day of discharge	28	28	$441.48	$68.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	17	$347.73	$69.11
99226 Subsequent observation care, typically 35 minutes per day	15	12	$713.08	$97.87
99306 Initial nursing facility visit, typically 45 minutes per day	14	13	$288.36	$151.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	350	136	$702.92	$102.19
99239 Hospital discharge day management, more than 30 minutes	81	80	$703.45	$105.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	65	$1207.85	$197.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	29	$397.52	$70.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	11	$185.00	$88.41
99497 Advance care planning, first 30 minutes	32	32	$562.59	$78.48
99217 Hospital observation care on day of discharge	24	24	$392.30	$69.07
99220 Hospital observation care, typically 70 minutes	22	22	$1075.53	$179.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	12	$244.95	$88.41
99226 Subsequent observation care, typically 35 minutes per day	16	11	$556.20	$101.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$503.50	$181.64
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$359.50	$161.71
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$223.00	$161.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	393	154	$702.71	$105.41
99239 Hospital discharge day management, more than 30 minutes	92	91	$681.72	$106.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$1184.30	$204.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	37	$401.31	$72.99
99497 Advance care planning, first 30 minutes	42	42	$562.59	$80.70
99217 Hospital observation care on day of discharge	35	35	$448.83	$73.70
99226 Subsequent observation care, typically 35 minutes per day	32	17	$678.30	$106.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$503.00	$168.75
99220 Hospital observation care, typically 70 minutes	23	23	$1086.11	$186.55
99291 Critical care, first 30-74 minutes	14	13	$1587.72	$224.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	366	152	$697.52	$103.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	72	$454.03	$72.36
99239 Hospital discharge day management, more than 30 minutes	127	123	$683.35	$106.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	77	$1225.01	$200.85
99217 Hospital observation care on day of discharge	36	36	$434.04	$70.99
99497 Advance care planning, first 30 minutes	28	27	$457.48	$78.87
99220 Hospital observation care, typically 70 minutes	25	24	$1012.95	$184.24
99291 Critical care, first 30-74 minutes	14	12	$1587.72	$221.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$504.33	$155.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	313	166	$707.69	$102.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	294	145	$444.02	$70.44
99239 Hospital discharge day management, more than 30 minutes	130	127	$701.23	$106.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	74	$1135.56	$200.51
99217 Hospital observation care on day of discharge	54	54	$438.72	$72.60
99220 Hospital observation care, typically 70 minutes	28	28	$1015.41	$184.01
99497 Advance care planning, first 30 minutes	22	22	$194.70	$78.93
99226 Subsequent observation care, typically 35 minutes per day	14	14	$621.09	$104.03
99238 Hospital discharge day management, 30 minutes or less	14	14	$343.00	$72.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	372	170	$373.18	$70.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	282	184	$490.13	$102.77
99239 Hospital discharge day management, more than 30 minutes	124	124	$580.33	$104.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	88	$877.44	$199.75
99217 Hospital observation care on day of discharge	34	34	$349.21	$70.17
99220 Hospital observation care, typically 70 minutes	23	23	$915.66	$175.82
99238 Hospital discharge day management, 30 minutes or less	18	18	$381.08	$71.22

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M3239

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

187062803 (TX)

Medicaid State Provider ID

187062801 (TX)

Medicaid State Provider ID

187062802 (TX)

Medicaid State Provider ID

187062804 (TX)

Hospital & Practice Group Affiliations

Jason Martin Medical Consulting Llc

121 Fm, Georgetown, TX 786264546

Phone: 5126705800

Aco Jason Martin Medical Consulting

208 Bella Colinas Dr, Austin, TX 787387631

Phone: 5128401158

Usacs Integrated Acute Care Services Of Texas, Pllc

3201 S Water St, Burnet, TX 786114510

Phone: 5127153000

Usacs Integrated Acute Care Services Of Texas, Pllc

260 Cully Dr, Kerrville, TX 780285950

Phone: 8302587747

Seton Family Of Doctors

130 Hays St, Luling, TX 786483207

Phone: 8308757000

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Daniel Levesque , MD

Internal Medicine

NPI 1033125307

Doctor of Medicine (M.D.)

Dr. Zahir Momin , MD

Internal Medicine

NPI 1073529327

Doctor of Medicine (M.D.)

Dr. Biljana Krstic , MD

Internal Medicine

NPI 1134397672

Doctor of Medicine (M.D.)

Dr. Ruben Salinas , MD

Internal Medicine

NPI 1154515252

Doctor of Medicine (M.D.)

Dr. Ricardo Cruz , DO

Internal Medicine

NPI 1164438446

Doctor of Osteopathic Medicine (D.O.)

Hsin-Yi Cheung

Nurse Practitioner - Acute Care

NPI 1225540057

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2013

Registered at 1301 W 38TH ST, #205, AUSTIN, TX 787051011 (Tel: 5123241864)

📍

Updated Business Mailing Address May 13, 2013

Registered at PO BOX 26726, AUSTIN, TX 787550726 (Tel: 5124078686)

👤

Provider Name / Credentials Updated May 13, 2013

Recorded as SUMA GOWDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2013

Internal Medicine (License #M3239 in TX)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Suma Gowda. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174558605

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: May 13, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 26726

Austin, TX 787550726

Phone: 5124078686

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.