DR. ROBERT J KOVAL JR. MD
NPI 1659427334
Internal Medicine - Rheumatology in Austin, TX

Q: What is Robert Koval's NPI number?

The NPI number for Robert Koval is 1659427334. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Robert Koval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Robert Koval was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment

88.95/100

CMS Quality Rating

4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759(512) 439-1000(512) 439-1081 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2025, Oct 28, 2022, Nov 20, 2019 and 2 more (5 updates tracked since 2015).

On this page

About Dr. Robert J Koval Jr. Md NPPES

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

DR. ROBERT J KOVAL JR. MD (NPI 1659427334) is an individual rheumatology provider in Austin, Texas, licensed in Texas (N9084) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Highland Lakes, and maintains a secondary practice location in Leander.

NPPES Registry Identity

NPI1659427334

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. ROBERT J KOVAL JR.Credential: MD

Location Address4700 SETON CENTER PKWY, SUITE 200Austin, TX 78759

Mailing Address4700 Seton Center Pkwy, Suite 200Ausitn, TX 78759-4107 · (512) 439-1000 · Fax (512) 439-1081

Phone(512) 439-1000

Fax(512) 439-1081

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 26, 2007

Last NPPES UpdateFebruary 21, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1659427334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in TX · N9084

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 46741 (CO)

4700 SETON CENTER PKWY, Austin, TX 78759

Open in Google Maps ↗

Secondary Practice Location 1

Location 110861 183A Toll Road, Bldg 1200, Ste 1200Leander, TX 78641 · Phone (512) 439-1000

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 and accepts Medicare assignment

Dr. Robert J Koval Jr. 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 ID9931277621

PECOS Enrollment IDI20110922000132

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 21

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

103,200 services25 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

17,010 services16 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

10,861 services110 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

10,675 services14 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

820 services150 patients

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.

793 services424 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

516 services64 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

311 services38 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

158 services13 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.

110 services110 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

90 services20 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

72 services71 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.

72 services64 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

69 services35 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

66 services41 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

35 services18 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

23 services17 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

21 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services13 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

12 services12 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.

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 Highland Lakes

Critical Access Hospitals · Burnet, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451365

Location3201 S Water StBurnet, TX 78611 · Burnet County

Emergency services

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number670043

Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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.

88.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

79.91

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

83%1,087 patients4/55-star benchmark: 100%

Breast Cancer Screening

73%1,014 patients4/55-star benchmark: 93%

Cervical Cancer Screening

62%1,148 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

23%360 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

64%1,761 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

55%102 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%36 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

88%5,464 patients4/55-star benchmark: 100%

e-Prescribing

95%2,998 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

90%1,069 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%2,500 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%4,189 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 2,079 patients

Patients screened: 89% · 2,079 patients

69%88 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%2,185 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

91%479 patients4/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80%98 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,117 patients

Patients totalRate: 3% · 1,117 patients

3%1,117 patients4/55-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 20

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

DR. KATIE LAURA O'SULLIVAN DPT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

BETHANY THORESEN

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

JENNY M. PARK L.P.T.

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

RYAN MICHAEL TIBBETTS MD

Orthopaedic Surgery

4700 SETON CENTER PKWY, STE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

DR. DONALD ROBERT DAVIS M.D.

Orthopaedic Surgery

4700 SETON CENTER PKWY, STE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

ANNALISA S FISH PT, DPT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

MR. JOHN WILLIAM KEY IV PT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

MS. LAURA VIELMA PT

Physical Therapist

4700 SETON CENTER PKWY, SUITE 200
AUSTIN, TX 78759

Travis County (512) 439-1000

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 Robert Koval's NPI number?

The NPI number for Robert Koval is 1659427334. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Robert Koval located?

Robert Koval practices at 4700 Seton Center Pkwy Suite 200, Austin, TX 78759. The listed phone number is (512) 439-1000.

What is Robert Koval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Robert Koval enrolled in Medicare?

Yes. Robert 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 Robert Koval 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 2 other insurers list Robert 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 Robert Koval affiliated with any hospitals?

According to CMS data, Robert Koval is affiliated with Ascension Seton Highland Lakes and Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Koval was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.