DR. MUNIRA A KHAMBATI M.D.
NPI 1215958624
Family Medicine in Marble Falls, TX

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

87.59/100

CMS Quality Rating

1009 FALLS PKWY STE C, MARBLE FALLS, TX 78654(830) 693-2600(830) 693-9756 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Munira A Khambati M.d. NPPES

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

DR. MUNIRA A KHAMBATI M.D. (NPI 1215958624) is an individual family medicine provider in Marble Falls, Texas, licensed in Texas (L5407) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Highland Lakes, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215958624

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MUNIRA A KHAMBATICredential: M.D.

Location Address1009 FALLS PKWY STE CMarble Falls, TX 78654-4630

Mailing AddressPo Box 1219Burnet, TX 78611-7219 · (830) 693-2600 · Fax (830) 693-9756

Phone(830) 693-2600

Fax(830) 693-9756

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 21, 2006

Last NPPES UpdateSeptember 11, 2023

NPPES CertifiedSeptember 11, 2023

✔ NPI 1215958624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · L5407

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1009 FALLS PKWY STE C, Marble Falls, TX 78654

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Other Names 1

Former Name (1)Munira Chhatriwala

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Munira A Khambati 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 ID7113029166

PECOS Enrollment IDI20070222000553

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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.

801 services418 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.

155 services155 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

74 services73 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

57 services57 patients

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Pneumococcal vaccine, 13-valent 90670

The 13-valent pneumococcal vaccine is a shot that helps protect against 13 types of bacteria that can cause serious infections like pneumonia and meningitis. It's often recommended for children under 2 and adults over 65, or people with certain health conditions.

39 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

26 services26 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.

22 services22 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

19 services19 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

16 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services12 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

12 services12 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 Highland Lakes

Critical Access Hospitals · Burnet, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451365

Location3201 S Water StBurnet, TX 78611 · Burnet County

Emergency services

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670108

Location810 W Highway 71Marble Falls, TX 78654 · Burnet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78654 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

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.

87.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

58.64

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers39 claims87 services$5.70 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers15 claims18 services$0.87 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers13 claims13 services$38.15 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers15 claims90 services$2.40 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier20 claims20 services$68.19 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers26 claims26 services$29.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	0%	76
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	91% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	45
Advance Care Plan	100%	1099
Appropriate Treatment for Upper Respiratory Infection (URI)	21%	34
Breast Cancer Screening	73%	726
Cervical Cancer Screening	54%	434
Chlamydia Screening for Women	7%	30
Closing the Referral Loop: Receipt of Specialist Report	50%	935
Colorectal Cancer Screening	72%	1217
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	0%	20
Controlling High Blood Pressure	79%	721
Coronary Artery Disease (CAD): Antiplatelet Therapy	73%	37
Dementia: Cognitive Assessment	50%	22
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation	25%	248
Diabetes: Eye Exam	8%	291
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	22% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	291
Documentation of Current Medications in the Medical Record	100%	4013
e-Prescribing	100%	7417
Falls: Screening for Future Fall Risk	92%	1076
Functional Status After Primary Total Knee Replacement	0%	20
HIV Screening	5%	918
One-Time Screening for Hepatitis C Virus (HCV) for all Patients	27%	1394
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	27%	1785
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	97%	1378
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	18%	1744
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	94%	1598
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	81%	214
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	97%	1598
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	49%	1395
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	50%	1395
Provide Patients Electronic Access to Their Health Information	84%	1424
Screening for Osteoporosis for Women Aged 65-85 Years of Age	86%	582
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	78%	582
Use of High-Risk Medications in Older Adults	4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	1080
Use of High-Risk Medications in Older Adults	15% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	1128
Use of High-Risk Medications in Older Adults	16% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	1128