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DR. LETITIA EILEEN PHALEN M.D.
NPI 1609802750
Hospitalist in Austin, TX

Active since June 23, 2006PECOS Enrolled
72.52/100
CMS Quality Rating
5656 BEE CAVES RD. BLDG C STE. 102, AUSTIN, TX 78746(512) 323-5465(512) 327-1390 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2020, Feb 26, 2019 (2 updates tracked since 2019).

About Dr. Letitia Eileen Phalen M.d. NPPES

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

DR. LETITIA EILEEN PHALEN M.D. (NPI 1609802750) is an individual hospitalist provider in Austin, Texas, licensed in Texas (K1277) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609802750
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. LETITIA EILEEN PHALENCredential: M.D.
Location Address5656 BEE CAVES RD. BLDG C STE. 102Austin, TX 78746
Mailing AddressPo Box 13442Austin, TX 78711-3442 · (512) 323-5465
Phone(512) 323-5465
Fax(512) 327-1390
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
✔ NPI 1609802750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · K1277
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License K1277 (TX)
5656 BEE CAVES RD. BLDG C STE. 102, Austin, TX 78746
Open in Google Maps ↗

Other Identifiers 2

Medicaid1029957-02TX
Medicaid102995702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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)

Dr. Letitia Eileen Phalen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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.

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.
190 services106 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.
67 services55 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.
60 services58 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.
55 services54 patients
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.
49 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Other Providers at the Same Location NPPES 4

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

DR. TERESA KRYSTYNA LYSON M.D.
Hospitalist
5656 BEE CAVES RD. BLDG C STE. 102
AUSTIN, TX 78746
Travis County (512) 323-5465
DR. TATIANA B. JACOBSON M.D.
Hospitalist
5656 BEE CAVES RD. BLDG C STE. 102
AUSTIN, TX 78746
Travis County (512) 323-5465
TOBIN LIM M.D.
Hospitalist
5656 BEE CAVES RD. BLDG C STE. 102
AUSTIN, TX 78746
Travis County (512) 323-5465
PATRICK A HASKELL D.O.
Hospitalist
5656 BEE CAVES RD. BLDG C STE. 102
AUSTIN, TX 78746
Travis County (512) 323-5465

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 Letitia Phalen's NPI number?

The NPI number for Letitia Phalen is 1609802750. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Letitia Phalen located?

Letitia Phalen practices at 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746. The listed phone number is (512) 323-5465.

What is Letitia Phalen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Letitia Phalen enrolled in Medicare?

Yes. Letitia Phalen is registered in the Medicare PECOS enrollment system.

What insurance does Letitia Phalen accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Letitia Phalen 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.

When was this NPI record last updated?

The NPPES record for Letitia Phalen was last updated on February 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.