MR. THEODORE CARROLL KLEM M.D.
NPI 1063702876
Internal Medicine in Austin, TX

Active since April 13, 2011PECOS Enrolled
79.27/100
CMS Quality Rating
9433 BEE CAVES RD, BUILDING 3, SUITE 103, AUSTIN, TX 78733(512) 649-7515(512) 649-1913 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2023, Oct 18, 2019 (2 updates tracked since 2019).

About Mr. Theodore Carroll Klem M.d. NPPES

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

MR. THEODORE CARROLL KLEM M.D. (NPI 1063702876) is an individual internal medicine provider in Austin, Texas, licensed in Texas (Q0485) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063702876
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. THEODORE CARROLL KLEMCredential: M.D.
Location Address9433 BEE CAVES RD, BUILDING 3, SUITE 103Austin, TX 78733
Mailing Address9433 Bee Caves Rd, Building 3, Suite 103Austin, TX 78733 · (512) 649-7515 · Fax (512) 649-1913
Fax(512) 649-1913
Sole ProprietorNo
Enumeration DateApril 13, 2011
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1063702876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · Q0485✔ Licensed in ME · MD23168✔ Licensed in TX · BP10039985
Definition
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.
9433 BEE CAVES RD, Austin, TX 78733

Other Identifiers 4

Other375277YLP1TX · Medicare Ptan
Other375277YKXVTX · Medicare Ptan
Other375277YLP2TX · Medicare Ptan
Other375277YKXYTX · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Theodore Carroll Klem M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Theodore Klem reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
Pediatrics
2 BERRY CT
Kennebunk, ME 04043
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
1,755 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
Hospitalist
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 99 clinicians in this Medicare group
Hospitalist
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 85 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78733 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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%58 patients5/55-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

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

Internal Medicine
9433 BEE CAVES RD, BLDG 2, STE 201
AUSTIN, TX 78733

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 Theodore Klem's NPI number?

The NPI number for Theodore Klem is 1063702876. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Theodore Klem located?

Theodore Klem practices at 9433 Bee Caves Rd Building 3, Suite 103, Austin, TX 78733. The listed phone number is (512) 649-7515.

What is Theodore Klem's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Klem enrolled in Medicare?

Yes. Theodore Klem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theodore Klem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Klem reassigns Medicare benefits to 9 organizations: Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Wellmed Networks, Inc. (San Antonio, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Webber Hospital Association (Kennebunk, ME) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Klem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Klem accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and Taro Health list Theodore Klem 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.

When was this NPI record last updated?

The NPPES record for Theodore Klem was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.