KRISTINA TZARTZEVA
NPI 1760846802
Internal Medicine - Gastroenterology in Austin, TX

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1601 TRINITY ST BLDG B, AUSTIN, TX 78712(512) 495-5555 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristina Tzartzeva NPPES

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

KRISTINA TZARTZEVA (NPI 1760846802) is an individual gastroenterology provider in Austin, Texas, licensed in Texas (T6401) and active in the NPI registry since April 2016. 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 Texas Southwestern Medical School At Dallas (2016).

NPPES Registry Identity

NPI1760846802
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameKRISTINA TZARTZEVA
Location Address1601 TRINITY ST BLDG BAustin, TX 78712-1765
Mailing Address1601 Trinity St Bldg BAustin, TX 78712-1765
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1760846802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · T6401
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1601 TRINITY ST BLDG B, Austin, TX 78712

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

Kristina Tzartzeva 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 ID6709252661
PECOS Enrollment IDI20221018000372
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 7

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.
26 services22 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services17 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.
18 services18 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.
17 services11 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 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.
15 services15 patients

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 78712 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

Reported Quality Measures

Breast Cancer Screening
42%90 patients2/55-star benchmark: 93%
Cervical Cancer Screening
35%202 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
10%40 patients
Closing the Referral Loop: Receipt of Specialist Report
47%106 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
68%171 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
63%57 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
18%28 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%28 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%851 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
22%68 patients1/55-star benchmark: 100%
HIV Screening
9%387 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
41%237 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
51%368 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%245 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 309 patients
Patients screened: 78% · 309 patients
52%21 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%165 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%64 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 72 patients
Patients totalRate: 13% · 72 patients
13%72 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.

Other Providers at the Same Location NPPES 8

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

Psychologist
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Psychiatry & Neurology (Neurology)
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Social Worker
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Neurological Surgery
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Psychologist (Clinical Child & Adolescent)
1601 TRINITY ST BLDG B
AUSTIN, TX 78712
Psychiatry & Neurology (Neurology)
1601 TRINITY ST BLDG B
AUSTIN, TX 78712

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 Kristina Tzartzeva's NPI number?

The NPI number for Kristina Tzartzeva is 1760846802. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Kristina Tzartzeva located?

Kristina Tzartzeva practices at 1601 Trinity St Bldg B, Austin, TX 78712. The listed phone number is (512) 495-5555.

What is Kristina Tzartzeva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kristina Tzartzeva enrolled in Medicare?

Yes. Kristina Tzartzeva 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 Kristina Tzartzeva 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 3 other insurers list Kristina Tzartzeva 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 Kristina Tzartzeva affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Kristina Tzartzeva was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.