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MICHAEL PAUL MCLAREN M.D.
NPI 1295114122
Family Medicine in New Braunfels, TX

Active since May 26, 2015PECOS Enrolled
228 S SEGUIN AVE, NEW BRAUNFELS, TX 78130(830) 282-6884(713) 357-9373 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2018, Jul 27, 2018 (2 updates tracked since 2018).

About Michael Paul Mclaren M.d. NPPES

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

MICHAEL PAUL MCLAREN M.D. (NPI 1295114122) is an individual family medicine provider in New Braunfels, Texas, licensed in Texas (T7649) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295114122
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL PAUL MCLARENCredential: M.D.
Location Address228 S SEGUIN AVENew Braunfels, TX 78130-5119
Mailing Address3400 Data Dr, Attn: Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956
Phone(830) 282-6884
Fax(713) 357-9373
Sole ProprietorNo
Enumeration DateMay 26, 2015
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1295114122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T7649
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
228 S SEGUIN AVE, New Braunfels, TX 78130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Paul Mclaren M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Mclaren reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Third Coast Emergency Physicians Southwest PA
36 mi
Emergency Medicine
4103 NORTH LOOK 1604 W
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
NPI 1497793475 (330) 493-4443
Travis County Emergency Physicians PA
47 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Gulf Coast Emergency Physicians, PLLC
133 mi
Emergency Medicine
2500 E MAIN ST
Alice, TX 78332
  • Reassigned Medicare billing, Texas enrollment
  • 174 clinicians in this Medicare group
NPI 1972286920 (361) 661-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
299 services288 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
265 services252 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
136 services130 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
100 services96 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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 Michael Mclaren's NPI number?

The NPI number for Michael Mclaren is 1295114122. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Michael Mclaren located?

Michael Mclaren practices at 228 S Seguin Ave, New Braunfels, TX 78130. The listed phone number is (830) 282-6884.

What is Michael Mclaren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Mclaren enrolled in Medicare?

Yes. Michael Mclaren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Mclaren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mclaren reassigns Medicare benefits to 3 organizations: Third Coast Emergency Physicians Southwest PA (San Antonio, TX), Travis County Emergency Physicians PA (Austin, TX) and Gulf Coast Emergency Physicians, PLLC (Alice, TX). Each 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 Michael Mclaren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mclaren accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Oscar Health and 3 other insurers list Michael Mclaren 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 Michael Mclaren was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.