Robert J. Koval, MD
Rheumatology Physician · Austin, TX
Robert J. Koval, MD is a rheumatology physician with a practice address in Austin, Texas, and NPI 1659427334, issued on Jan 26, 2007. Check the license (Texas N9084, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Robert J. Koval
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License numbers
- N9084 TX
46741 CO
Self-reported in NPPES; status is on the state search - Practice location
- 4700 Seton Center Pkwy, Austin, TX 78759
- Phone
- (512) 439-1000
- Enumerated
- Jan 26, 2007
- Record last updated
- Feb 21, 2025
- Fax
- (512) 439-1081
- Medicare enrollment
- Enrolled (PECOS I20110922000132); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 545 in Texas → Look up another NPI →
Also registered at 4700 Seton Center Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- James Arrington, PA-CSurgical Physician Assistant1558375915
- James BasquePhysical Therapist1730616889
Verify Robert J. Koval in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license N9084Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
80% more Medicare Part D claims than the average rheumatology physician in 2024
3,561 Medicare Part D claims for 609 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 177 claims were for opioids.
Most prescribed
- Prednisone497 claims
- Methotrexate468 claims
- Hydroxychloroquine Sulfate365 claims
- Tramadol Hcl174 claims
- Gabapentin138 claims
- Alendronate Sodium128 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 89 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $45,574.05
275 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Ortholonestar PLLCAustin, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Robert J. Koval among 545 rheumatology physician records in Texas
Robert J. Koval, MD is one of 545 rheumatology physician records with a practice address in Texas. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 42% of them.
- NPI issued2007 · 42% of these records are older, 44% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2005 · median 2004 among the 417 with a school on file
- Record last updated2025 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Texas
There are 545 rheumatology physician records in Texas.
All 545 in Texas → Every provider in Austin → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Joseph Martinez, MDAustin, TX 787591588911382
- Louis Robinett, M.D.Austin, TX 787581780002956
- Matthew Dwyer, DOAustin, TX 787481497247803
- Eduardo Cepeda, M.D.West Lake Hills, TX 787461285609503
- Kevin Osgood, MDWest Lake Hills, TX 787461942356563
- Christopher Parker, DOWest Lake Hills, TX 787461912961384
- Monty Tew, MDWest Lake Hills, TX 787461942266689
- Samir Patel, M.D.Austin, TX 787451891903779
Common questions
What is Robert J. Koval, MD's NPI number?
Robert J. Koval, MD's National Provider Identifier (NPI) is 1659427334, issued on Jan 26, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Robert J. Koval, MD located?
The NPPES record lists a practice address at 4700 Seton Center Pkwy, Austin, TX, 78759. Phone: (512) 439-1000. Providers update this record themselves, so call before visiting.
How can I verify Robert J. Koval, MD's license?
NPPES lists Texas license number N9084, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Robert J. Koval, MD prescribe under Medicare Part D?
In 2024, Robert J. Koval, MD had 3,561 Medicare Part D claims for 609 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Robert J. Koval, MD's MIPS final score?
The 2023 MIPS final score is 89 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.