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DR. REUBEN WENCIS TOVAR M.D.
NPI 1174567705
Internal Medicine in Austin, TX

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
7500 RIALTO BLVD, SUITE 140, AUSTIN, TX 78735(512) 730-3058(888) 685-0677 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, May 2, 2018 (2 updates tracked since 2018).

About Dr. Reuben Wencis Tovar M.d. NPPES

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

DR. REUBEN WENCIS TOVAR M.D. (NPI 1174567705) is an individual internal medicine provider in Austin, Texas, licensed in Idaho (M-14178) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1994).

NPPES Registry Identity

NPI1174567705
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. REUBEN WENCIS TOVARCredential: M.D.
Location Address7500 RIALTO BLVD, SUITE 140Austin, TX 78735
Mailing Address7500 Rialto Blvd, Suite 140Austin, TX 78735 · (512) 730-3058 · Fax (888) 685-0677
Phone(512) 730-3058
Fax(888) 685-0677
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1994
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1174567705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · M-14178✔ Licensed in RI · MD15177✔ Licensed in FL · ME114642✔ Licensed in TX · J9928✔ Licensed in NC · 2022-00266
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 ListedHospitalistTaxonomy 208M00000X · License J9928 (TX), ME114642 (FL), 2022-00266 (NC)
7500 RIALTO BLVD, Austin, TX 78735
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Other Identifiers 2

Medicaid104965202TX
Medicaid1049652-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), HMO Louisiana and more.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

Dr. Reuben Wencis Tovar M.d. 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 ID3577653534
PECOS Enrollment IDI20071214000476, I20151116001403, I20211202001366
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 2

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
33 services30 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$18.80 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier20 claims240 services$1.92 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier22 claims24 services$6.97 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier22 claims44 services$4.59 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$6.58 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier13 claims13 services$3.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VE INNOVATIVE RESOURCE GROUP LLC
Point of Service
7500 RIALTO BLVD, BLDG 1 STE 250
AUSTIN, TX 78735
Travis County (866) 787-8219
MONARCH DIAGNOSTICS, LLC
Physiological Laboratory
7500 RIALTO BLVD, SUITE 230
AUSTIN, TX 78735
Travis County (512) 213-4131
JILLIAN ANDERSON GALLIGHER RD,CNSC,LD
Dietitian, Registered
7500 RIALTO BLVD, STE 250
AUSTIN, TX 78735
Travis County (512) 608-4054
DISCOCARE, INC
Durable Medical Equipment & Medical Supplies
7500 RIALTO BLVD, BLDG 2 STE 100
AUSTIN, TX 78735
Travis County (877) 478-8331
DEVICE REIMBURSEMENT SERVICES, INC.
Durable Medical Equipment & Medical Supplies
7500 RIALTO BLVD, BUILDING 2, SUITE 100
AUSTIN, TX 78735
Travis County (866) 496-5763
MICHELLE BELL RD,LD
Dietitian, Registered (Nutrition, Renal)
7500 RIALTO BLVD, STE 250
AUSTIN, TX 78735
Travis County (512) 960-4550
ANDREA DOMBROWSKI
Dietitian, Registered
7500 RIALTO BLVD, STE 250
AUSTIN, TX 78735
Travis County (512) 608-4054

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 Reuben Tovar's NPI number?

The NPI number for Reuben Tovar is 1174567705. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Reuben Tovar located?

Reuben Tovar practices at 7500 Rialto Blvd Suite 140, Austin, TX 78735. The listed phone number is (512) 730-3058.

What is Reuben Tovar's specialty?

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

Is Reuben Tovar enrolled in Medicare?

Yes. Reuben Tovar 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 Reuben Tovar accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), HMO Louisiana, Molina Healthcare and UnitedHealthcare list Reuben Tovar 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 Reuben Tovar was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.