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ETHAN MELTZER M.D.
NPI 1467865790
Psychiatry & Neurology - Neurology in Austin, TX

Active since June 04, 2014PECOS Enrolled
71.53/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(833) 882-2737(888) 698-8329 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2019, May 18, 2018, Nov 2, 2016 (3 updates tracked since 2016).

About Ethan Meltzer M.d. NPPES

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

ETHAN MELTZER M.D. (NPI 1467865790) is an individual neurology provider in Austin, Texas, licensed in Texas (R5901) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1467865790
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameETHAN MELTZERCredential: M.D.
Location Address1601 TRINITY STAustin, TX 78712
Mailing Address1601 Trinity St Stop Z0200Austin, TX 78712-1850 · (833) 882-2737 · Fax (888) 698-8329
Phone(833) 882-2737
Fax(888) 698-8329
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2014
Enumeration DateJune 4, 2014
Last NPPES UpdateMay 30, 20193 updates tracked since enumeration
✔ NPI 1467865790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · R5901
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License R5901 (TX)
1601 TRINITY ST, Austin, TX 78712
Open in Google Maps ↗

Secondary Practice Location 1

Location 11601 Trinity StAustin, TX 78712 · Phone (833) 882-2737 · Fax (888) 698-8329

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 (PECOS)

Ethan Meltzer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597983429
PECOS Enrollment IDI20180620000569
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
46 services42 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.
37 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 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 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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%22 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%22 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
86%22 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
91%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BENJAMIN JAMES EHRENFELD LCSW
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 495-5300
ROBERT FEINSTEIN MD
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
DR. VEENA A PATEL M.D.
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
FAHEEM MAHOMED M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 913-5011
SUE GAIL ECKHARDT MD
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 495-5512
MS. ERIN ELIZABETH LOPEZ PA-C
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Travis County (512) 324-8320
AARON BRAVERMAN LCSW
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
ANNA CAPASSO MD
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737

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 Ethan Meltzer's NPI number?

The NPI number for Ethan Meltzer is 1467865790. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Ethan Meltzer located?

Ethan Meltzer practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (833) 882-2737.

What is Ethan Meltzer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ethan Meltzer enrolled in Medicare?

Yes. Ethan Meltzer is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Meltzer accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ethan Meltzer 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 Ethan Meltzer affiliated with any hospitals?

According to CMS data, Ethan Meltzer is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Ethan Meltzer was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.