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ELISABETH SCHULTZ BROCKIE D.O.
NPI 1184761777
Pathology - Anatomic Pathology & Clinical Pathology in Plano, TX

Active since January 31, 2007Opted out of Medicare · through Apr 13, 2028CLIA 45D2255982 · Certificate of Compliance
1508 17TH ST, PLANO, TX 75074(877) 433-7284(877) 433-7284 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elisabeth Schultz Brockie D.o. NPPES

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

ELISABETH SCHULTZ BROCKIE D.O. (NPI 1184761777) is an individual anatomic pathology & clinical pathology provider in Plano, Texas, licensed in Texas (H9820) and active in the NPI registry since January 2007. She has opted out of Medicare through April 13, 2028 and remains eligible to order and refer, holds a CLIA Certificate of Compliance certificate valid through April 18, 2027, and maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1184761777
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameELISABETH SCHULTZ BROCKIECredential: D.O.
Location Address1508 17TH STPlano, TX 75074-6300
Mailing Address4215 Alta Vista LnDallas, TX 75229-2836 · (214) 350-2058
Phone(877) 433-7284
Fax(877) 433-7284
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 2, 2019
✔ NPI 1184761777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · H9820
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1508 17TH ST, Plano, TX 75074
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Secondary Practice Location 1

Location 14770 Regent BlvdIrving, TX 75063-2445 · Phone (972) 916-3532 · Fax (972) 916-3209

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Elisabeth Schultz Brockie D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 13, 2026 through April 13, 2028.

Opt-Out Effective DateApril 13, 2026
Opt-Out In Effect ThroughApril 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

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 of Compliance 45D2255982

Elisabeth Brockie, Do · Dallas, TX
Active · expires Apr 18, 2027
CLIA Number45D2255982
Laboratory TypeIndependent
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorElisabeth S. Brockie
Laboratory Phone(214) 793-0135
Laboratory LocationElisabeth Brockie, Do4215 Alta Vista Ln, Dallas, TX 75229
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elisabeth Brockie's NPI number?

The NPI number for Elisabeth Brockie is 1184761777. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Elisabeth Brockie located?

Elisabeth Brockie practices at 1508 17th St, Plano, TX 75074. The listed phone number is (877) 433-7284.

What is Elisabeth Brockie's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Elisabeth Brockie enrolled in Medicare?

No. Elisabeth Brockie has opted out of Medicare through April 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Elisabeth Brockie hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2255982) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elisabeth Brockie 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 and 3 other insurers list Elisabeth Brockie 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 Elisabeth Brockie was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.