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KEVIN CEBALLOS
NPI 1114555190
Internal Medicine in Georgetown, TX

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
105 WILDWOOD DR STE 105, GEORGETOWN, TX 78633(786) 423-5819 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin Ceballos NPPES

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

KEVIN CEBALLOS (NPI 1114555190) is an individual internal medicine provider in Georgetown, Texas, licensed in Texas (U4166) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114555190
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN CEBALLOS
Location Address105 WILDWOOD DR STE 105Georgetown, TX 78633-1344
Mailing Address1706 Cedar Bend Dr Unit CAustin, TX 78758-2602
Phone(786) 423-5819
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1114555190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U4166
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
105 WILDWOOD DR STE 105, Georgetown, TX 78633
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Ceballos 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 ID2365860160
PECOS Enrollment IDI20230912001664
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 Reassignment

Medicare enrollment records show Kevin Ceballos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Area Primary Care, PLLC
24 mi
Family Medicine
2900 N QUINLAN PARK RD, SUITE 430
Austin, TX 78732
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group
NPI 1023287976 (512) 266-8877

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

Areas of Expertise CMS Part B claims 7

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.

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.
519 services257 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
139 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
90 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services32 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78633 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

LAURA ELAINE DEFREITAS APRN, FNP-C
Nurse Practitioner
105 WILDWOOD DR STE 105
GEORGETOWN, TX 78633
Williamson County (512) 763-4060
WILLIAM CHRISTOPHER GIUNTA FNP - BC
Nurse Practitioner (Family)
105 WILDWOOD DR STE 105
GEORGETOWN, TX 78633
Williamson County (512) 763-4060
MR. GRADY C HORN LCSW
Social Worker (Clinical)
105 WILDWOOD DR STE 105
GEORGETOWN, TX 78633
Williamson County (512) 763-4060

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 Kevin Ceballos's NPI number?

The NPI number for Kevin Ceballos is 1114555190. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Kevin Ceballos located?

Kevin Ceballos practices at 105 Wildwood Dr Ste 105, Georgetown, TX 78633. The listed phone number is (786) 423-5819.

What is Kevin Ceballos's specialty?

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

Is Kevin Ceballos enrolled in Medicare?

Yes. Kevin Ceballos 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.

Which organization bills Medicare for Kevin Ceballos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ceballos reassigns Medicare benefits to Capital Area Primary Care, PLLC (Austin, TX). The 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 Kevin Ceballos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Ceballos accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Kevin Ceballos 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 Kevin Ceballos affiliated with any hospitals?

According to CMS data, Kevin Ceballos is affiliated with Adventhealth Central Texas and St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Ceballos was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.