MCBROOM CLINIC PA
NPI 1114088093
Family Medicine in La Grange, TX
About Mcbroom Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCBROOM CLINIC PA (NPI 1114088093) is a healthcare organization registered as a family medicine in La Grange, Texas and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Alyson M Beisert, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mcbroom Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Mcbroom Clinic PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0717793
Mcbroom Clinic PA · La Grange, TXCertificate for Provider-Performed Microscopy Procedures (PPMP) 45D1074462
Mcbroom Clinic PA · Giddings, TXFrequently 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 Mcbroom Clinic PA's NPI number?
The NPI number for Mcbroom Clinic PA is 1114088093. It was assigned to this organization in the NPPES registry on December 13, 2006.
Where is Mcbroom Clinic PA located?
Mcbroom Clinic PA is located at 2 Saint Marks Pl Ste 110, La Grange, TX 78945. The listed phone number is (979) 968-8493.
What is Mcbroom Clinic PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mcbroom Clinic PA enrolled in Medicare?
Yes. Mcbroom Clinic PA is registered in the Medicare PECOS enrollment system.
When is Mcbroom Clinic PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mcbroom Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Mcbroom Clinic PA. A 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 the clinician's services. The largest specialties are Family Practice (6) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mcbroom Clinic PA hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mcbroom Clinic PA 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 list Mcbroom Clinic PA 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 Mcbroom Clinic PA was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Mcbroom Clinic Pa · NPI 1114088093
Family Medicine organization in La Grange, Texas. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1114088093 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Alyson Beisert, OFFICE MANAGER
## Practice location
- **Address:** 2 SAINT MARKS PL STE 110, La Grange, TX 78945-1255
- **Phone:** (979) 968-8493 · **Fax:** (979) 968-6388
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **Other identifiers:** Medicaid 1114088093 (TX)
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1114088093) · Data from the CMS NPPES public registry.