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STEFANIE BERTIE MCCAIN M.D.
NPI 1265539688
Obstetrics & Gynecology in Abilene, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0931795 · Microscopy
19 HOSPITAL DR, ABILENE, TX 79606(325) 690-0620(325) 690-0622 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stefanie Bertie Mccain M.d. NPPES

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

STEFANIE BERTIE MCCAIN M.D. (NPI 1265539688) is an individual obstetrics & gynecology provider in Abilene, Texas, licensed in Texas (K0123) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 4, 2027, and is affiliated with Hendrick Medical Center.

NPPES Registry Identity

NPI1265539688
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTEFANIE BERTIE MCCAINCredential: M.D.
Location Address19 HOSPITAL DRAbilene, TX 79606-5269
Mailing Address19 Hospital DrAbilene, TX 79606-5269 · (325) 690-0620 · Fax (325) 690-0622
Phone(325) 690-0620
Fax(325) 690-0622
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1989
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 3, 2016
✔ NPI 1265539688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K0123
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
19 HOSPITAL DR, Abilene, TX 79606
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Other Identifiers 2

Medicare UPING50521TX
Medicaid0899221-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Stefanie Bertie Mccain M.d. 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 ID3476678301
PECOS Enrollment IDI20100916000220
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.

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0931795

Stefanie B Mccain MD PA · Abilene, TX
Active · expires Aug 4, 2027
CLIA Number45D0931795
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorStefanie B. Mccain MD
Laboratory Phone(915) 692-2028
Laboratory LocationStefanie B Mccain MD PA19 Hospital Drive, Abilene, TX 79606
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
468 services182 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
105 services105 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
85 services85 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
81 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
28 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Knox City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451394
Location701 Southeast 5th StreetKnox City, TX 79529 · Knox County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79606 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

MS. STACY DENISE HAMMOND R.N. FNP - C
Nurse Practitioner (Family)
19 HOSPITAL DR
ABILENE, TX 79606
Taylor County (325) 690-0620
STEFANIE B MCCAIN, M.D. PA
Obstetrics & Gynecology
19 HOSPITAL DR
ABILENE, TX 79606
Taylor County (325) 690-0620

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 Stefanie Mccain's NPI number?

The NPI number for Stefanie Mccain is 1265539688. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Stefanie Mccain located?

Stefanie Mccain practices at 19 Hospital Dr, Abilene, TX 79606. The listed phone number is (325) 690-0620.

What is Stefanie Mccain's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stefanie Mccain enrolled in Medicare?

Yes. Stefanie Mccain 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.

Does Stefanie Mccain hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0931795) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stefanie Mccain accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Stefanie Mccain 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.

Is Stefanie Mccain affiliated with any hospitals?

According to CMS data, Stefanie Mccain is affiliated with Hendrick Medical Center, Hendrick Medical Center Brownwood and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Stefanie Mccain was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.