MARY M MCLEOD PA
NPI 1285020792
Physician Assistant in Fort Worth, TX

Q: What is Mary Mcleod's NPI number?

The NPI number for Mary Mcleod is 1285020792. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Mary Mcleod's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Mcleod was last updated on April 25, 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.

Active since April 10, 2015PECOS Enrolled

1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-4906(817) 250-1815 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 25, 2017, May 10, 2016, Jan 26, 2016 (3 updates tracked since 2016).

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About Mary M Mcleod Pa NPPES

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

MARY M MCLEOD PA (NPI 1285020792) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA09191) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285020792

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY M MCLEODCredential: PA

Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122

Mailing Address1301 Pennsylvania AveFort Worth, TX 76104-2122 · (817) 250-4906 · Fax (817) 250-1815

Phone(817) 250-4906

Fax(817) 250-1815

Sole ProprietorNo

Enumeration DateApril 10, 2015

Last NPPES UpdateApril 25, 20173 updates tracked since enumeration

✔ NPI 1285020792 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 · PA09191

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.

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Other Identifiers 4

Other8078NTTX · Bcbs

Medicaid351942301TX

Medicare PIN564610YKPWTX

Medicare PIN453156YM4ATX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Mary M Mcleod Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 20

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

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine