DR. CLAIRE E HOVERMAN M.D.
NPI 1851547384
Obstetrics & Gynecology in Austin, TX

Q: What is Claire Hoverman's NPI number?

The NPI number for Claire Hoverman is 1851547384. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Q: What is Claire Hoverman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Claire Hoverman was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 15, 2008PECOS EnrolledAccepts Medicare Assignment

72.52/100

CMS Quality Rating

1301 W 38TH ST, STE. 300, AUSTIN, TX 78705(512) 454-5721(512) 454-2801 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Claire E Hoverman M.d. NPPES

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

DR. CLAIRE E HOVERMAN M.D. (NPI 1851547384) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (P9876) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2008).

NPPES Registry Identity

NPI1851547384

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. CLAIRE E HOVERMANCredential: M.D.

Location Address1301 W 38TH ST, STE. 300Austin, TX 78705-1000

Mailing Address1301 W 38th St, Ste. 300Austin, TX 78705-1000 · (512) 454-5721 · Fax (512) 454-2801

Phone(512) 454-5721

Fax(512) 454-2801

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2008

Enumeration DateAugust 15, 2008

Last NPPES UpdateSeptember 26, 2016

✔ NPI 1851547384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · P9876

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1301 W 38TH ST, Austin, TX 78705

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Claire E Hoverman 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 ID648416479

PECOS Enrollment IDI20140918002362

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

Medicare enrollment records show Claire Hoverman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seton Family Of Doctors

2.1 mi

Neurological Surgery

1601 TRINITY ST STOP 704
Austin, TX 78712

Reassigned Medicare billing, Texas enrollment
1,188 clinicians in this Medicare group

NPI 1588997233 (512) 324-8300

Obhg Texas Holdings, P.A.

7.7 mi

Obstetrics & Gynecology

12221 N MOPAC EXPY
Austin, TX 78758

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Obhg Texas Holdings PA
998 clinicians in this Medicare group

NPI 1083917769 (800) 967-2289

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 2

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.

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.

47 services47 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.

35 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

Most-billed visit code 99213

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

Quality

61.27

Promoting Interoperability

100

Improvement Activities

Cost

47.12

Reported Quality Measures

Breast Cancer Screening

87%23 patients4/55-star benchmark: 93%

Cervical Cancer Screening

83%143 patients4/55-star benchmark: 98%

e-Prescribing

100%609 patients5/55-star benchmark: 100%

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

39%119 patients2/55-star benchmark: 98%

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

59%162 patients4/55-star benchmark: 61%

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

Patients screened: 18% · 89 patients

18%89 patients

Provide Patients Electronic Access to Their Health Information

99%499 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.

WILLIAM R WOODWARD MD

Specialist

1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705

Travis County (512) 454-5171

TEXAS CARDIOVASCULAR CONSULTANTS, PA

Internal Medicine (Cardiovascular Disease)

1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705

Travis County (512) 617-6000

DR. KEVIN J. BOZIC MD

Orthopaedic Surgery

1301 W 38TH ST, STE 102
AUSTIN, TX 78705

Travis County (512) 454-4561

MEGAN LYN MCCOIN MD

Obstetrics & Gynecology

1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705

Travis County (512) 454-5721

AMANDA MAEGHAN HERRERA LCSW-S

Social Worker (Clinical)

1301 W 38TH ST
AUSTIN, TX 78705

Travis County (512) 324-3380

MARK J PIRWITZ MD, FACC

Internal Medicine (Interventional Cardiology)

1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705

Travis County (512) 324-3440

MATTHEW C ROBINSON M.D.

Internal Medicine (Infectious Disease)

1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705

Travis County (512) 459-0301

ZAHIR A MOMIN MD

Internal Medicine

1301 W 38TH ST, #205
AUSTIN, TX 78705

Travis County (512) 324-1864

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 Claire Hoverman's NPI number?

The NPI number for Claire Hoverman is 1851547384. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Claire Hoverman located?

Claire Hoverman practices at 1301 W 38th St Ste. 300, Austin, TX 78705. The listed phone number is (512) 454-5721.

What is Claire Hoverman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Claire Hoverman enrolled in Medicare?

Yes. Claire Hoverman 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 Claire Hoverman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Hoverman reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Obhg Texas Holdings, P.A. (Austin, TX). 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 Claire Hoverman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Hoverman 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 5 other insurers list Claire Hoverman 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 Claire Hoverman was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.