OLIVER JOHN MITHOEFER MD
NPI 1205450178
Internal Medicine in Austin, TX

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
73.24/100
CMS Quality Rating
1201 W 38TH ST, AUSTIN, TX 78705(802) 233-6454 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2025, Jun 11, 2020, Jun 5, 2020 (3 updates tracked since 2020).

About Oliver John Mithoefer Md NPPES

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

OLIVER JOHN MITHOEFER MD (NPI 1205450178) is an individual internal medicine provider in Austin, Texas, licensed in Texas (V0479) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Medical University Of South Carolina College Of Medicine (2020).

NPPES Registry Identity

NPI1205450178
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOLIVER JOHN MITHOEFERCredential: MD
Location Address1201 W 38TH STAustin, TX 78705-1006
Mailing Address1201 W 38th StAustin, TX 78705-1006
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1205450178 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 · V0479 Licensed in SC · LL84280
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.
1201 W 38TH ST, Austin, TX 78705

Other Identifiers 3

Other84280SC · South Carolina Board Of Medical Examiners
OtherLL84280SC · South Carolina Board Of Medical Examiners Limited License
OtherV0479TX · Texas Medical Board

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

Oliver John Mithoefer Md 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 ID6305265919
PECOS Enrollment IDI20250428001305
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

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.

73.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.04
Cost59.51

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology)
1201 W 38TH ST
AUSTIN, TX 78705
Nurse Practitioner (Family)
1201 W 38TH ST
AUSTIN, TX 78705
Registered Nurse (Critical Care Medicine)
1201 W 38TH ST
AUSTIN, TX 78705
Nurse Practitioner (Neonatal)
1201 W 38TH ST
AUSTIN, TX 78705
Pediatrics (Neonatal-Perinatal Medicine)
1201 W 38TH ST, NEONATAL OFFICE
AUSTIN, TX 78705
Nurse Practitioner
1201 W 38TH ST
AUSTIN, TX 78705
Physician Assistant
1201 W 38TH ST
AUSTIN, TX 78705
Nurse Practitioner (Pediatrics)
1201 W 38TH ST
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 Oliver Mithoefer's NPI number?

The NPI number for Oliver Mithoefer is 1205450178. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Oliver Mithoefer located?

Oliver Mithoefer practices at 1201 W 38th St, Austin, TX 78705. The listed phone number is (802) 233-6454.

What is Oliver Mithoefer's specialty?

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

Is Oliver Mithoefer enrolled in Medicare?

Yes. Oliver Mithoefer 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 Oliver Mithoefer accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Oliver Mithoefer 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 Oliver Mithoefer affiliated with any hospitals?

According to CMS data, Oliver Mithoefer is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Oliver Mithoefer was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.