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Active NPI 1134450497 Individual Practitioner Female Practitioner

Brooke Marie Stidham , PA-C

Physician Assistant • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brooke Stidham, PA-C is a certified Physician Assistant practicing in Austin, TX. With approximately 19 years of clinical experience since completing medical education in 2007, Brooke Stidham delivers high-quality medical care to the local community at 11623 ANGUS RD.

Brooke Stidham is affiliated with Ladera Park Dermatology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11623 Angus Rd
Suite 25

Austin, TX 787594003

Telephone 5123459411
Associated Practice Facility / Clinic
🏢 Austin Dermatology Clinic, Pa Facility NPI 1861501736

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Austin, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +9.1 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
611 Specialists

Practicing in Austin, TX (11140 Statewide)

Telehealth Adoption Rate
15.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stidham (19 Years) 19 Yrs
Austin Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
388 89 $12.00 $5.79
99213 Established patient office or other outpatient visit, typically 15 minutes
305 231 $90.00 $77.87
17110 Destruction of up to 14 skin growths
193 161 $170.00 $98.19
17000 Destruction of skin growth
145 124 $115.00 $40.59
11102 Tangential biopsy of single skin lesion
132 117 $160.00 $69.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
77 71 $65.00 $48.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
41 41 $150.00 $95.46
11103 Biopsy of related skin growth, each additional growth
29 24 $85.00 $43.56
17111 Destruction of skin growth, 15 or more growths
23 20 $200.00 $115.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 18 $130.00 $107.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
14 12 $255.00 $143.22
11104 Punch biopsy, first skin growth
13 13 $190.00 $104.31

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA08059

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.

Hospital & Practice Group Affiliations

Ladera Park Dermatology Pa

11671 Jollyville Rd, Austin, TX 787594141

Phone: 5123453599

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Edward Lewis , MD

Orthopaedic Surgery - Sports Medicine

NPI 1083696025

Doctor of Medicine (M.D.)

Dr. David Dellinger , DO

Surgery - Plastic and Reconstructive Surgery

NPI 1093785404

Doctor of Osteopathic Medicine (D.O.)

Andreas Mueller , PT

Physical Therapist - Orthopedic

NPI 1245340967

Physical Therapist

Dr. Celie Harden , DDS

Dentist - General Practice

NPI 1598864597

Doctor of Dental Surgery

Dr. Roger Harden , MD

Allergy & Immunology

NPI 1760420582

Doctor of Medicine (M.D.)

Dr. David Davis , MD

Orthopaedic Surgery

NPI 1871591354

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 20, 2017

Registered at 11671 JOLLYVILLE RD, STE 104, AUSTIN, TX 787594141 (Tel: 5123453599)

📍
Updated Practice Location March 20, 2017

Registered at 11623 ANGUS RD, SUITE 25, AUSTIN, TX 787594003 (Tel: 5123459411)

👤
Provider Name / Credentials Updated March 20, 2017

Recorded as BROOKE STIDHAM, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Physician Assistant (License #PA08059 in TX)

NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2016

Registered at 11623 ANGUS RD, SUITE 25, AUSTIN, TX 787594003 (Tel: 5123459411)

📍
Updated Business Mailing Address February 17, 2016

Registered at 11623 ANGUS RD, SUITE 25, AUSTIN, TX 787594003 (Tel: 5123459411)

👤
Provider Name / Credentials Updated February 17, 2016

Recorded as BROOKE STIDHAM, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Physician Assistant (License #PA08059 in TX)

🟢
Initial NPI Registration & Enumeration January 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134450497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2010
Last Update: March 20, 2017
Sole Proprietor: No

Mailing Address

11671 Jollyville Rd, Ste 104

Austin, TX 787594141

Phone: 5123453599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.