STANLEY LAWRENCE HOY II
NPI 1043660228
Internal Medicine - Pulmonary Disease in Austin, TX

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1301 W 38TH ST STE 400, AUSTIN, TX 78705(512) 324-3340 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2023, Sep 14, 2020, Sep 10, 2020 and 1 more (4 updates tracked since 2016).

About Stanley Lawrence Hoy Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANLEY LAWRENCE HOY II (NPI 1043660228) is an individual pulmonary disease provider in Austin, Texas, licensed in Texas (U5291) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Morehouse School Of Medicine (2016).

NPPES Registry Identity

NPI1043660228
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSTANLEY LAWRENCE HOY II
Location Address1301 W 38TH ST STE 400Austin, TX 78705-1017
Mailing Address1301 W 38th St Ste 400Austin, TX 78705-1017 · (512) 324-3340
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2016
Enumeration DateJune 17, 2016
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1043660228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · U5291
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1301 W 38TH ST STE 400, Austin, TX 78705

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stanley Lawrence Hoy Ii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436577723
PECOS Enrollment IDI20231031003497
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
88 services81 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
51 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services45 patients
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629
A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.
44 services43 patients
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654
This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.
44 services43 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
73%89 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1301 W 38TH ST STE 400
AUSTIN, TX 78705
Internal Medicine (Pulmonary Disease)
1301 W 38TH ST STE 400
AUSTIN, TX 78705
Internal Medicine (Pulmonary Disease)
1301 W 38TH ST STE 400
AUSTIN, TX 78705
Internal Medicine (Pulmonary Disease)
1301 W 38TH ST STE 400
AUSTIN, TX 78705
Surgery (Vascular Surgery)
1301 W 38TH ST STE 400
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST STE 400
AUSTIN, TX 78705
Student in an Organized Health Care Education/Training Program
1301 W 38TH ST STE 400
AUSTIN, TX 78705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Hoy's NPI number?

The NPI number for Stanley Hoy is 1043660228. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Stanley Hoy located?

Stanley Hoy practices at 1301 W 38th St Ste 400, Austin, TX 78705. The listed phone number is (512) 324-3340.

What is Stanley Hoy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Stanley Hoy enrolled in Medicare?

Yes. Stanley Hoy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stanley Hoy accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Stanley Hoy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stanley Hoy affiliated with any hospitals?

According to CMS data, Stanley Hoy is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Stanley Hoy was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.