DR. ERIN KOVAL M.D.
NPI 1598976763
Internal Medicine in Austin, TX

Active since May 26, 2007PECOS EnrolledAccepts Medicare Assignment
1301 W 38TH ST STE 205, AUSTIN, TX 78705(512) 324-1864(512) 419-9016 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erin Koval M.d. NPPES

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

DR. ERIN KOVAL M.D. (NPI 1598976763) is an individual internal medicine provider in Austin, Texas, licensed in Texas (N9083) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of University Of Colorado School Of Medicine, Denver (2007).

NPPES Registry Identity

NPI1598976763
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ERIN KOVALCredential: M.D.
Location Address1301 W 38TH ST STE 205Austin, TX 78705-1011
Mailing AddressPo Box 26726Austin, TX 78755-0726 · (512) 407-8686 · Fax (512) 406-6216
Fax(512) 419-9016
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2007
Enumeration DateMay 26, 2007
Last NPPES UpdateMay 4, 2020
NPPES CertifiedMay 4, 2020
NPI 1598976763 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 · N9083 Licensed in CO · 2343
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.
1301 W 38TH ST STE 205, Austin, TX 78705

Other Identifiers 4

Medicaid284059701TX
Medicaid284059704TX
Medicaid284059703TX
Medicaid284059702TX

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. Erin Koval 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 ID1557494184
PECOS Enrollment IDI20110929000337
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.

Hospital Affiliations CMS Care Compare

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

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 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%83 patients5/55-star benchmark: 100%
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 7

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

Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Genetic Counselor, MS
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Nurse Practitioner (Women's Health)
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST STE 205
AUSTIN, TX 78705
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1301 W 38TH ST STE 205
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 Erin Koval's NPI number?

The NPI number for Erin Koval is 1598976763. It was assigned to this individual provider in the NPPES registry on May 26, 2007.

Where is Erin Koval located?

Erin Koval practices at 1301 W 38th St Ste 205, Austin, TX 78705. The listed phone number is (512) 324-1864.

What is Erin Koval's specialty?

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

Is Erin Koval enrolled in Medicare?

Yes. Erin Koval 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 Erin Koval accept?

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

According to CMS data, Erin Koval is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Erin Koval was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.