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

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: July 19, 2026.

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
Open in Google Maps ↗

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. 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.

Areas of Expertise CMS Part B claims 4

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.
57 services57 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
54 services41 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 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
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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.

LYDA SWEENEY MD
Obstetrics & Gynecology
1301 W 38TH ST, STE 300
AUSTIN, TX 78705
Travis County (512) 454-5721
HALEY KENT BEASLEY MD
Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
SHELDON L MARKOWITZ MC
Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
WILLIAM R WOODWARD MD
Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
ADAM J SCHNEIDER MD
Internal Medicine
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
DRS. MCHORSE, FOSTER AND NUTSON, L.L.P.
Internal Medicine
1301 W 38TH ST, SUITE 402
AUSTIN, TX 78705
Travis County (512) 454-7453
STEPHANIE ANN BOOTH M.D.
Specialist
1301 W 38TH ST, SUITE 110
AUSTIN, TX 78705
Travis County (512) 454-3631
DR. ANNE COMPEAU AMES D.P.M.
Podiatrist
1301 W 38TH ST, SUITE 707
AUSTIN, TX 78705
Travis County (512) 407-8188

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.

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 3 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 with the weekly NPPES data releases published by CMS.