DR. HALEY JOYCE HOUGHTON MD
NPI 1427552272
Internal Medicine in Austin, TX

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
5245 W HIGHWAY 290, AUSTIN, TX 78735(512) 654-2100 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2023, Aug 15, 2023, Mar 19, 2018 (3 updates tracked since 2018).

About Dr. Haley Joyce Houghton Md NPPES

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

DR. HALEY JOYCE HOUGHTON MD (NPI 1427552272) is an individual internal medicine provider in Austin, Texas, licensed in Texas (T1389) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of University Of Mississippi School Of Medicine (2018).

NPPES Registry Identity

NPI1427552272
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HALEY JOYCE HOUGHTONCredential: MD
Location Address5245 W HIGHWAY 290Austin, TX 78735-8963
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1427552272 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 · T1389
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 T1389 (TX)
5245 W HIGHWAY 290, Austin, TX 78735

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

Dr. Haley Joyce Houghton 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 ID244633840
PECOS Enrollment IDI20210720002044
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 6

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 hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
106 services98 patients
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.
75 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services62 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.
66 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670131
Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County
Emergency services

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

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.

Other Providers at the Same Location NPPES 18

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

Emergency Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Anesthesiology
5245 W HIGHWAY 290
AUSTIN, TX 78735
Anesthesiologist Assistant
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Emergency Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine (Hematology & Oncology)
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735

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 Haley Houghton's NPI number?

The NPI number for Haley Houghton is 1427552272. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Haley Houghton located?

Haley Houghton practices at 5245 W Highway 290, Austin, TX 78735. The listed phone number is (512) 654-2100.

What is Haley Houghton's specialty?

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

Is Haley Houghton enrolled in Medicare?

Yes. Haley Houghton 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 Haley Houghton accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Haley Houghton 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 Haley Houghton affiliated with any hospitals?

According to CMS data, Haley Houghton is affiliated with Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Buda and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Haley Houghton was last updated on September 7, 2023. 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.