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MRS. BROOKE MARIE STIDHAM PAC
NPI 1134450497
Physician Assistant in Austin, TX

Active since January 26, 2010PECOS EnrolledAccepts Medicare Assignment
11623 ANGUS RD, SUITE 25, AUSTIN, TX 78759(512) 345-9411 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2017, Feb 17, 2016 (2 updates tracked since 2016).

About Mrs. Brooke Marie Stidham Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BROOKE MARIE STIDHAM PAC (NPI 1134450497) is an individual physician assistant in Austin, Texas, licensed in Texas (PA08059) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1134450497
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BROOKE MARIE STIDHAMCredential: PAC
Location Address11623 ANGUS RD, SUITE 25Austin, TX 78759-4003
Mailing Address11671 Jollyville Rd, Ste 104Austin, TX 78759-4141 · (512) 345-3599 · Fax (512) 345-3599
Phone(512) 345-9411
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 26, 2010
Last NPPES UpdateMarch 20, 20172 updates tracked since enumeration
✔ NPI 1134450497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA08059
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11623 ANGUS RD, Austin, TX 78759
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Other Names 1

Other Name (5)Miss Brooke Marie Williamson Pac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare, WellPoint.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

Mrs. Brooke Marie Stidham Pac 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 ID4284762055
PECOS Enrollment IDI20140205000570
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
388 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
305 services231 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
193 services161 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
145 services124 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
132 services117 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
77 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD S LEWIS MD
Orthopaedic Surgery (Sports Medicine)
11623 ANGUS RD, STE 15
AUSTIN, TX 78759
Travis County (512) 346-7170
DR. DAVID BRIAN DELLINGER DO
Surgery (Plastic and Reconstructive Surgery)
11623 ANGUS RD, SUITE C15
AUSTIN, TX 78759
Travis County (512) 229-1978
BUTLER & BURNS EAR NOSE & THROAT ASSOCIATES
Otolaryngology
11623 ANGUS RD, SUITE 20
AUSTIN, TX 78759
Travis County (512) 346-5562
ANDREAS MUELLER PT
Physical Therapist (Orthopedic)
11623 ANGUS RD, SUITE 18
AUSTIN, TX 78759
Travis County (512) 345-4421
ELYSIAN PLASTIC SURGERY PLLC
Plastic Surgery
11623 ANGUS RD, SUITE C15
AUSTIN, TX 78759
Travis County (512) 229-1978
DR. CELIE RUHNKE HARDEN DDS
Dentist (General Practice)
11623 ANGUS RD, #11
AUSTIN, TX 78759
Travis County (512) 338-4420
HEALTHY SLEEP TEXAS
Dentist
11623 ANGUS RD, SUITE 16
AUSTIN, TX 78759
Travis County (512) 346-5196
ROGER ARTHUR HARDEN M.D.
Allergy & Immunology
11623 ANGUS RD
AUSTIN, TX 78759
Travis County (512) 338-1366

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 Brooke Stidham's NPI number?

The NPI number for Brooke Stidham is 1134450497. It was assigned to this individual provider in the NPPES registry on January 26, 2010. The provider is also known as Miss Brooke Marie Williamson Pac.

Where is Brooke Stidham located?

Brooke Stidham practices at 11623 Angus Rd Suite 25, Austin, TX 78759. The listed phone number is (512) 345-9411.

What is Brooke Stidham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke Stidham enrolled in Medicare?

Yes. Brooke Stidham 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 Brooke Stidham accept?

Health plans from Oscar Insurance Company, UnitedHealthcare and WellPoint list Brooke Stidham 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 Brooke Stidham was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.