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DR. ALBERT ARTHUR M.D.
NPI 1720499668
Family Medicine in Round Rock, TX

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
1750 ROUND ROCK AVE STE 200, ROUND ROCK, TX 78681(512) 763-0457(512) 521-0570 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Albert Arthur M.d. NPPES

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

DR. ALBERT ARTHUR M.D. (NPI 1720499668) is an individual family medicine provider in Round Rock, Texas, licensed in Texas (R4182) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720499668
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALBERT ARTHURCredential: M.D.
Location Address1750 ROUND ROCK AVE STE 200Round Rock, TX 78681-4215
Mailing Address1750 Round Rock Ave Ste 200Round Rock, TX 78681-4215 · (512) 763-0457
Phone(512) 763-0457
Fax(512) 521-0570
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 14, 2014
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1720499668 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 · R4182
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.
1750 ROUND ROCK AVE STE 200, Round Rock, TX 78681
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Secondary Practice Locations 2

Location 1201 E Wilco Hwy Ste 100Hutto, TX 78634-2739 · Phone (512) 551-0792 ext. 10792
Location 2780 W Broade St Ste 115Leander, TX 78641-6552 · Phone (512) 551-1090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Albert Arthur 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 ID1254655897
PECOS Enrollment IDI20171019001021
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Albert Arthur reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arthur Direct Care LLC
Same address
Family Medicine
1750 ROUND ROCK AVE STE 200
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1134821028 (512) 763-0457
Usacs Integrated Acute Care Services Of Texas, PLLC
6.6 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
Aco Jason Martin Medical Consulting
22 mi
Internal Medicine
208 BELLA COLINAS DR
Austin, TX 78738
  • Reassigned Medicare billing, Texas enrollment
  • 75 clinicians in this Medicare group
NPI 1881578961 (512) 234-4685
Jason Martin Medical Consulting LLC
22 mi
General Practice
208 BELLA COLINAS DR
Austin, TX 78738
  • Reassigned Medicare billing, Texas enrollment
  • 111 clinicians in this Medicare group
NPI 1851736243 (512) 840-1158
Hospitalist Medicine Physicians Of Texas, PLLC
150 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Cogent Healthcare Of Texas, PA
172 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Sound Physicians Of Wyoming, LLC
974 mi
Hospitalist
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 108 clinicians in this Medicare group
NPI 1982982708 (800) 822-7201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
400 services95 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.
44 services39 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.
25 services25 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
18 services18 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services13 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
12 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

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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.

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…
94%165 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

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

ARTHUR DIRECT CARE LLC
Family Medicine
1750 ROUND ROCK AVE STE 200
ROUND ROCK, TX 78681
Williamson County (512) 763-0457

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 Albert Arthur's NPI number?

The NPI number for Albert Arthur is 1720499668. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Albert Arthur located?

Albert Arthur practices at 1750 Round Rock Ave Ste 200, Round Rock, TX 78681. The listed phone number is (512) 763-0457.

What is Albert Arthur's specialty?

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

Is Albert Arthur enrolled in Medicare?

Yes. Albert Arthur 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.

Which organizations bill Medicare for Albert Arthur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Arthur reassigns Medicare benefits to 7 organizations: Arthur Direct Care LLC (Round Rock, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Aco Jason Martin Medical Consulting (Austin, TX), Jason Martin Medical Consulting LLC (Austin, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Albert Arthur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Albert Arthur accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company and 3 other insurers list Albert Arthur 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 Albert Arthur affiliated with any hospitals?

According to CMS data, Albert Arthur is affiliated with Ascension Seton Medical Center Austin and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Albert Arthur was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.