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SUSAN C KING MD
NPI 1669459327
Family Medicine in Cedar Park, TX

Active since December 23, 2005PECOS EnrolledCLIA 45D2003909 · Waiver
90.84/100
CMS Quality Rating
1907 CYPRESS CREEK RD, SUITE 104, CEDAR PARK, TX 78613(512) 346-7966(512) 346-7196 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan C King Md NPPES

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

SUSAN C KING MD (NPI 1669459327) is an individual family medicine provider in Cedar Park, Texas, licensed in Texas (L1633) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 21, 2028, and is affiliated with St David's Medical Center.

NPPES Registry Identity

NPI1669459327
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN C KINGCredential: MD
Location Address1907 CYPRESS CREEK RD, SUITE 104Cedar Park, TX 78613-4150
Mailing Address1907 Cypress Creek Rd, Suite 104Cedar Park, TX 78613-4150 · (512) 346-7966 · Fax (512) 346-7196
Phone(512) 346-7966
Fax(512) 346-7196
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 22, 2011
✔ NPI 1669459327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L1633
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1907 CYPRESS CREEK RD, Cedar Park, TX 78613
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Other Identifiers 1

Medicare UPINH40620TX

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)

Susan C King Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436138278
PECOS Enrollment IDI20040715001147
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2003909

Susan C King MD · Cedar Park, TX
Active · expires Feb 21, 2028
CLIA Number45D2003909
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorSusan C. King
Laboratory Phone(512) 346-7966
Laboratory LocationSusan C King MD1907 Cypress Crk Rd Ste 104, Cedar Park, TX 78613
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
625 services206 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.
214 services152 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
19 services19 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

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 78613 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.69
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Cervical Cancer Screening
51%703 patients3/55-star benchmark: 98%
Controlling High Blood Pressure
52%500 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%166 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%4,078 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
77%1,462 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
45%1,191 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%2,235 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 1,160 patients
Patients screened: 94% · 1,160 patients
26%87 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 441 patients
Patients totalRate: 19% · 441 patients
18%441 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers15 claims15 services$30.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers20 claims115 services$1.65 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$28.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

VIAN LAN-PHUONG NGUYEN AA
Anesthesiologist Assistant
1907 CYPRESS CREEK RD
CEDAR PARK, TX 78613
Williamson County (512) 294-2565
STEPHANIE CHEEK L.AC.
Acupuncturist
1907 CYPRESS CREEK RD, SUITE 107
CEDAR PARK, TX 78613
Williamson County (512) 215-0844
BARDEN MEDICAL MANAGEMENT, LLC
Nurse Anesthetist, Certified Registered
1907 CYPRESS CREEK RD, SUITE #108
CEDAR PARK, TX 78613
Williamson County (512) 374-1876

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 Susan King's NPI number?

The NPI number for Susan King is 1669459327. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Susan King located?

Susan King practices at 1907 Cypress Creek Rd Suite 104, Cedar Park, TX 78613. The listed phone number is (512) 346-7966.

What is Susan King's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan King enrolled in Medicare?

Yes. Susan King is registered in the Medicare PECOS enrollment system.

Does Susan King hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2003909) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Susan King 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 4 other insurers list Susan King 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 Susan King affiliated with any hospitals?

According to CMS data, Susan King is affiliated with St David's Medical Center, North Austin Medical Center, Ascension Seton Highland Lakes and Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Susan King was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.