Doctor profile · Federal record

Dr. Robert Koval, MD

Rheumatology Physician (CMS: Rheumatology) · Internal Medicine Physician · Austin, TX

  • NPI 1659427334
  • Accepts Medicare
  • MIPS 89.0 / 100 · 2023
  • 21 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
4700 Seton Center Pkwy, Suite 200
Austin, TX 78759
(512) 439-1000
fax (512) 439-1081
Additional location
10861 183A Toll Road, Bldg 1200, Ste 1200
Leander, TX 78641

Credentials & registration

NPPES · NUCC
NPI registered
January 2007 — 19 yrs on file
Profile last updated
February 21, 2025
Year of graduation
2005 — 21 yrs since
Specialty taxonomy
207RR0500X — NUCC code
State licenses (2)
Texas #N9084 · Colorado #46741

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1659427334. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
139,163
Distinct HCPCS
10
Medicare allowed
$1,570,907
HCPCS Description Services Patients Avg allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 92,800 23 $5
J3111 Injection, romosozumab-aqqg, 1 mg 22,680 15 $10
J0897 Injection, denosumab, 1 mg 11,104 111 $23
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 9,675 17 $42
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 819 144 $71
99214 Established patient office or other outpatient visit, 30-39 minutes 739 408 $124
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 421 56 $1
96413 Administration of chemotherapy into vein, 1 hour or less 278 37 $122
99204 New patient office or other outpatient visit, 45-59 minutes 109 109 $163
99213 Established patient office or other outpatient visit, 20-29 minutes 97 84 $88

In context: peer comparison

Among 4 peers in Austin Rheumatology Physician, average services per provider: 5,940. This provider delivers 23× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$45,574
Transactions
270
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
Janssen Biotech, INC. 102 $33,690.87
Abbvie INC. 60 $7,988.00
Janssen Scientific Affairs, LLC 4 $1,009.09
Amgen INC. 22 $903.40
Novartis Pharmaceuticals Corporation 14 $453.72
Ucb, INC. 13 $312.39
Genzyme Corporation 12 $293.88
Lilly USA, LLC 6 $236.55
Aurinia Pharma U.S., INC. 20 $183.62
E.R. Squibb & Sons, L.L.C. 4 $94.98
AstraZeneca Pharmaceuticals Lp 3 $94.29
Boehringer Ingelheim Pharmaceuticals, INC. 3 $67.35
Mallinckrodt Hospital Products INC. 2 $59.37
Pfizer INC. 3 $43.95
Radius Health, INC. 2 $34.91

By nature of payment

Compensation for Services Other Than Consulting, Including Serving As Faculty or As A Speaker at A Venue Other Than A Continuing Education Program
$35,440
Food and Beverage
$4,958
Travel and Lodging
$4,281
Consulting Fee
$840
Education
$55

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
2,415
Patients
729
Total drug cost
$1,585,056
Drug Type Claims Patients Total cost
Methotrexate (Methotrexate Sodium) Brand 429 136 $18,166
Prednisone Generic 428 128 $3,237
Hydroxychloroquine Sulfate Generic 301 102 $17,540
Tramadol Hcl Generic 228 54 $1,181
Meloxicam Generic 154 55 $1,067
Gabapentin Generic 132 45 $2,271
Alendronate Sodium Generic 116 45 $1,329
Allopurinol Generic 106 32 $1,893
Enbrel Sureclick (Etanercept) Brand 106 12 $769,736
Leflunomide Generic 104 39 $8,040

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Robert Koval's medical specialty?
Dr. Robert Koval practices Rheumatology Physician in Austin, TX.
Where does Dr. Robert Koval practice?
Dr. Robert Koval practices at 4700 Seton Center Pkwy, Austin, TX 78759. Office phone: 5124391000.
What is Dr. Robert Koval's NPI?
Dr. Robert Koval's National Provider Identifier (NPI) is 1659427334, issued by NPPES.
Does Dr. Robert Koval accept Medicare assignment?
Yes. Dr. Robert Koval accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Koval commonly perform?
Top Medicare-reported procedures in 2023: Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (HCPCS J0717); Injection, romosozumab-aqqg, 1 mg (HCPCS J3111); Injection, denosumab, 1 mg (HCPCS J0897). Source: CMS Medicare Physician & Other Practitioners file.