Dr. Robert J. Koval Jr., MD
- Medicare services, 2024
- 145,454
- Medicare patients, 2024
- 537
- Part D claims, 2024
- 3,561
- MIPS score, 2024
- 94
- Hospital affiliations
- 3
- Practice address
- 7401 South Main Street, Houston, TX 77030
- Practice phone
- Call (713) 799-8600
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Koval's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Robert J. Koval Jr. is a rheumatologist in Houston, Texas
Dr. Koval practices at Texas Orthopedic Hospital in Houston, Texas, part of HCA Healthcare.
Dr. Koval's NPI, 1659427334, was assigned on January 26, 2007. Dr. Koval graduated from McGovern Medical School in 2005. Dr. Koval holds Texas license N9084.
- NPI
- 1659427334NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9931277621
- NPI enumeration date
- January 26, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (713) 799-8600
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 47
- Medical school graduation
- 2005
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Robert J. Koval Jr. practices at Texas Orthopedic Hospital in Houston, Texas
Dr. Koval's primary practice is Texas Orthopedic Hospital, at 7401 South Main Street, Houston, TX 77030 in Harris County. The practice phone is (713) 799-8600.
- Texas Orthopedic Hospital7401 South Main Street, Houston, TX 77030 · Harris CountyPhone(713) 799-8600
Source: Dmand AI Affiliation Data
Dr. Robert J. Koval Jr. is affiliated with 5 sites of care and 2 medical groups
Dr. Koval's primary practice is Texas Orthopedic Hospital in Houston, Texas, part of HCA Healthcare. Dr. Koval is also affiliated with Ascension Seton Cedar Park Hospital. The medical group on file is OrthoLoneStar. Dmand AI also links Dr. Koval to 1 more hospital, 2 group practices and clinics and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Robert J. Koval Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Koval practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Texas Orthopedic Hospital | Available with a free account |
| +4 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Robert J. Koval Jr. is one of 476 rheumatologists in Texas
Rheumatology is Dr. Koval's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Koval is board certified in rheumatology by the American Board of Internal Medicine. Dmand AI has Dr. Koval's licenses on file in 2 states: Texas and Colorado.
Specialties and state licenses
- Rheumatology, TexasPrimary
- Internal medicine, Colorado
Clinical focus
Dmand AI lists arteritis, arthritis, fibromyalgia and chronic pain, fluid in a joint, gout, joint arthropathy, joint pain and lupus among the conditions Dr. Koval treats.
Rheumatologists near Dr. Koval
Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Robert J. Koval Jr. billed Medicare for 145,454 services in 2024
CMS data shows 145,454 Medicare services from Dr. Koval across 23 procedure codes in 2024, for 537 Medicare patients. Medicare paid $1,279,866 for them. Every service was in an office.
Dr. Koval's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 136,7482024: 142,3344%
- Tests and treatments
- 2023: 1,1662024: 1,39119%
- Office and hospital visits
- 2023: 9752024: 1,0003%
- Other services
- 2023: 02024: 443
- Imaging
- 2023: 1992024: 1971%
- Surgery
- 2023: 752024: 8919%
Dr. Koval compared with the Texas median for rheumatologists, 2024
- Dr. Koval
- Texas median
- Medicare services
- 145,454vs 1,331109.3 times
- Medicare patients
- 537vs 1962.7 times
- Part D claims
- 3,367vs 1,1383.0 times
Medians across 451 rheumatologists in Texas with Dmand AI profiles that report each measure.
Dr. Koval's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Robert J. Koval Jr. treated 537 Medicare patients in 2024, average age 73
CMS counts 537 Medicare patients who saw Dr. Koval in 2024. The largest group is 65 to 74, with 291 patients. 75% of them have arthritis, and 72% have high cholesterol. 3% are also on Medicaid. Their average risk score is 1.07, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Koval's median patient age at 65, with 74% women.
Dr. Koval's Medicare patients by age, 2024
Dr. Koval's Medicare patients by sex, 2024
- Women41377%
- Men12423%
Chronic conditions among Dr. Koval's Medicare patients, 2024
- Arthritis75%
- High cholesterol72%
- High blood pressure66%
- Osteoporosis43%
- Ischemic heart disease23%
- Anxiety22%
- Diabetes22%
- Mood disorders21%
Share of Medicare patients with each condition. A patient can have several.
Dr. Koval's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 65
Patient panel by sex, all payers
- Women74%
- Men25%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Robert J. Koval Jr. wrote 3,561 Medicare Part D claims in 2024
In 2024, Dr. Koval wrote 3,561 Medicare Part D claims for 609 patients. 82% of them were for generic drugs. CMS names the drug for 3,367 of them, across 49 drugs with 11 or more claims each, at $3,670,455 in total drug cost. In 2023, CMS named 3,135 claims across 48 drugs.
Dr. Koval's Part D claims by kind of drug, 2024
- Generic2,908 claims82%
- Brand-name619 claims17%
- Other34 claims1%
Dr. Koval's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Koval's Part D claims, 2024
- Opioids5%177 of 3,561 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 3,1352024: 3,3677%
Drugs named by CMS: 49 in 2024, 48 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Robert J. Koval Jr. scored 94 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Dr. Koval for performance year 2024, reported individually. Dr. Koval accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Koval as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Koval's MIPS scores, performance year 2024
- 94of 100Final score
- 89.7of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Robert J. Koval Jr. received $160,934 in industry payments from 2016 to 2025
CMS Open Payments shows 1,787 general payments to Dr. Koval from 32 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 62% of the total. Janssen Pharmaceuticals, Inc paid the most, $111,973.
General payments to Dr. Koval by program year, 2016 to 2025
General payments to Dr. Koval by kind, 2016 to 2025
- Speaker and faculty fees$100,08362%
- Food and beverage$32,66520%
- Travel and lodging$20,05912%
- Consulting fees$7,7175%
- Education$4100%
Companies that paid Dr. Koval the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Robert J. Koval Jr. has 1 award and honors on record
Dmand AI lists 1 award for Dr. Koval, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Koval
- 2013
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. Robert J. Koval Jr. graduated from McGovern Medical School
Dr. Koval graduated from McGovern Medical School in 2005. Dr. Koval is a member of ACR.
- Medical school
- Board certified in rheumatology
Source: Dmand AI Professional Profile Data
Dr. Robert J. Koval Jr. accepts plans from 18 insurance carriers
Dr. Koval is in network with 18 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.
- Aetna
- Elevance
- United Healthcare
- Blue Cross Blue Shield of Michigan
- HCSC
- Alliant Health Plans
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- +10 more carriersWith a free account
Plan types Dr. Koval accepts, by number of carriers
- PPO13
- Medicare10
- HMO8
- POS5
- EPO4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Robert J. Koval Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Robert J. Koval Jr.
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Robert J. Koval Jr.'s NPI number?
Dr. Robert J. Koval Jr.'s NPI number is 1659427334. It was assigned on January 26, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Robert J. Koval Jr.?
Dr. Robert J. Koval Jr. is a rheumatologist in Houston, Texas. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).
Where does Dr. Robert J. Koval Jr. practice?
Dr. Koval practices at 7401 South Main Street, Houston, TX 77030. Dr. Koval's primary practice is Texas Orthopedic Hospital in Houston, Texas, part of HCA Healthcare. Dmand AI also links Dr. Koval to 1 hospital, 2 group practices and clinics and 1 medical group.
What is Dr. Robert J. Koval Jr.'s office phone number?
The practice phone on file for Dr. Koval is (713) 799-8600.
What is Dr. Robert J. Koval Jr.'s medical license number?
Dr. Koval holds Texas license N9084, one of the licenses on file in 2 states.
Which states has Dr. Robert J. Koval Jr. been licensed in?
Dmand AI has state licenses on file for Dr. Koval in Texas (2011 to 2026) and Colorado (2008 to 2011).
Which hospitals is Dr. Robert J. Koval Jr. affiliated with?
Dr. Koval practices at Texas Orthopedic Hospital in Houston, Texas. Dr. Koval is also affiliated with Ascension Seton Cedar Park Hospital. Dmand AI links Dr. Koval to 1 more hospital.
What medical group is Dr. Robert J. Koval Jr. part of?
Dr. Koval is linked to OrthoLoneStar. Dmand AI links Dr. Koval to 1 more medical group.
Does Dr. Robert J. Koval Jr. accept Medicare?
Yes. CMS data shows Dr. Koval billed Medicare for 145,454 services in 2024, and Dr. Koval accepts Medicare assignment.
Does Dr. Robert J. Koval Jr. offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Koval as offering telehealth services.
Show 9 more questionsShow fewer questions
What is Dr. Robert J. Koval Jr.'s MIPS score?
Dr. Koval's MIPS final score for performance year 2024 is 94 out of 100, reported individually.
How many Medicare patients does Dr. Robert J. Koval Jr. see?
CMS counts 537 Medicare patients who saw Dr. Koval in 2024, with an average age of 73.
Is Dr. Robert J. Koval Jr. board certified?
Yes. Dr. Koval is board certified in rheumatology by the American Board of Internal Medicine.
What services does Dr. Robert J. Koval Jr. bill to Medicare?
In 2024, Dr. Koval's most billed Medicare services were injected or infused drug (J0717), injected or infused drug (J3111) and injected or infused drug (J0897).
Where did Dr. Robert J. Koval Jr. go to medical school?
Dr. Koval graduated from McGovern Medical School in 2005.
What drugs does Dr. Robert J. Koval Jr. prescribe most?
In 2024 Medicare Part D data, Dr. Koval's most prescribed drugs by claims were Prednisone, Methotrexate and Hydroxychloroquine Sulfate.
Has Dr. Robert J. Koval Jr. received payments from drug or device companies?
CMS Open Payments shows $160,934 in general payments to Dr. Koval from 32 companies from 2016 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.
How long has Dr. Robert J. Koval Jr. been practicing?
Dr. Koval graduated from medical school in 2005, 21 years ago.
What insurance does Dr. Robert J. Koval Jr. accept?
Dr. Koval is in network with 18 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.
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