Active NPI 1598976763 Individual Practitioner Female Practitioner

Dr. Erin Koval , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Erin Koval, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 19 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 2007, Dr. Koval delivers high-quality medical care to the local community at 1301 W 38TH ST STE 205.

Dr. Koval is affiliated with Usacs Integrated Acute Care Services Of Texas, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial nursing facility visit, prolonged inpatient or observation hospital service, first hour, subsequent hospital care with moderate levelof medical decision making, if using time, at least. 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 Ste 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

University Of Colorado School Of Medicine, Denver

Graduation Year

2007

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

19 Yrs -1.8 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

40.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koval (19 Years) 19 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	168	158	$222.95	$157.42
99356 Prolonged inpatient or observation hospital service, first hour	16	16	$186.00	$87.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	167	152	$223.00	$161.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	31	$512.49	$71.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	45	$741.10	$101.39
99239 Hospital discharge day management, more than 30 minutes	39	39	$763.71	$106.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$1439.50	$199.08
99356 Prolonged inpatient or observation hospital service, first hour	12	12	$186.00	$88.57

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	89	45	$512.49	$73.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	55	$741.10	$106.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$1439.50	$205.82
99239 Hospital discharge day management, more than 30 minutes	51	49	$763.71	$109.71
99306 Initial nursing facility visit, typically 45 minutes per day	48	44	$223.00	$166.92
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	20	15	$274.00	$134.54

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	120	64	$512.49	$71.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	59	$741.10	$100.97
99239 Hospital discharge day management, more than 30 minutes	77	76	$763.71	$106.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	61	$1439.50	$199.17

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	142	73	$512.49	$72.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	43	$741.10	$103.85
99239 Hospital discharge day management, more than 30 minutes	62	61	$763.71	$107.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$1439.50	$201.92
99217 Hospital observation care on day of discharge	16	16	$517.52	$73.04
99220 Hospital observation care, typically 70 minutes	11	11	$1318.91	$185.52

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	207	107	$341.87	$71.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	66	$539.95	$101.41
99239 Hospital discharge day management, more than 30 minutes	99	94	$500.15	$106.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$1029.19	$199.43
99217 Hospital observation care on day of discharge	28	27	$335.55	$72.05
99220 Hospital observation care, typically 70 minutes	26	26	$905.92	$183.00

Medical Specialties & State Licenses

CMS Verified: 2020-05-04

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N9083

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 CO 2343

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

284059704 (TX)

Medicaid State Provider ID

284059702 (TX)

Medicaid State Provider ID

284059703 (TX)

Medicaid State Provider ID

284059701 (TX)

Hospital & Practice Group Affiliations

Usacs Integrated Acute Care Services Of Texas, Pllc

1201 W 38th St, Austin, TX 787051006

Phone: 5123241000

Usacs Integrated Acute Care Services Of Texas, Pllc

1500 Red River St, Austin, TX 787011918

Phone: 5123240150

Usacs Integrated Acute Care Services Of Texas, Pllc

3501 Mills Ave, Austin, TX 787316309

Phone: 5123241017

Usacs Integrated Acute Care Services Of Texas, Pllc

260 Cully Dr, Kerrville, TX 780285950

Phone: 8302587747

Practice Associates & Co-Workers

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

29 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Ruben Salinas , MD

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NPI 1154515252

Doctor of Medicine (M.D.)

Dr. Ricardo Cruz , DO

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NPI 1164438446

Doctor of Osteopathic Medicine (D.O.)

Dr. Suma Gowda , MD

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NPI 1174558605

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2014

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

📍

Updated Business Mailing Address June 05, 2014

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

👤

Provider Name / Credentials Updated June 05, 2014

Recorded as ERIN KOVAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2014

Internal Medicine (License #N9083 in TX)

🟢

Initial NPI Registration & Enumeration May 26, 2007

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: 1598976763

Entity Type:

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

Enumeration Date: May 26, 2007

Last Update: May 04, 2020

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.