KIMBERLY CHOU M.D.
NPI 1255789962
Family Medicine - Geriatric Medicine in Austin, TX

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
4316 JAMES CASEY ST STE B-100, AUSTIN, TX 78745(512) 444-4325 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jul 2, 2024, Nov 24, 2020 (3 updates tracked since 2020).

About Kimberly Chou M.d. NPPES

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

KIMBERLY CHOU M.D. (NPI 1255789962) is an individual geriatric medicine provider in Austin, Texas, licensed in Texas (S5142) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Round Rock Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2016).

NPPES Registry Identity

NPI1255789962
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameKIMBERLY CHOUCredential: M.D.
Location Address4316 JAMES CASEY ST STE B-100Austin, TX 78745-1142
Mailing AddressPo Box 3409Pflugerville, TX 78691-3409 · (512) 202-3830 · Fax (512) 354-1106
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1255789962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in TX · S5142
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License S5142 (TX)
4316 JAMES CASEY ST STE B-100, Austin, TX 78745

Other Identifiers 1

Medicaid413729103TX

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

Kimberly Chou 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 ID4082901400
PECOS Enrollment IDI20200522000150
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 15

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
706 services106 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
331 services17 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
211 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
104 services73 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.
70 services41 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
58 services54 patients

Hospital Affiliations CMS Care Compare

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

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
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 2

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
5 suppliers24 claims326 services$9.05 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
5 suppliers29 claims1,424 services$0.11 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 3

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

Internal Medicine (Infectious Disease)
4316 JAMES CASEY ST STE B-100
AUSTIN, TX 78745
Family Medicine
4316 JAMES CASEY ST STE B-100
AUSTIN, TX 78745
Family Medicine
4316 JAMES CASEY ST STE B-100
AUSTIN, TX 78745

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 Kimberly Chou's NPI number?

The NPI number for Kimberly Chou is 1255789962. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Kimberly Chou located?

Kimberly Chou practices at 4316 James Casey St Ste B-100, Austin, TX 78745. The listed phone number is (512) 444-4325.

What is Kimberly Chou's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Kimberly Chou enrolled in Medicare?

Yes. Kimberly Chou 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 Kimberly Chou accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Kimberly Chou 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 Kimberly Chou affiliated with any hospitals?

According to CMS data, Kimberly Chou is affiliated with Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Chou was last updated on July 25, 2024. 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.