TRACY THOMAS PHILLIPS (D.O.) – Family Medicine Physician, NPI 1679571863
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for TRACY THOMAS PHILLIPS (D.O.)
PO BOX 20146
WHITE HALL, AR 716120146
Phone: (501) 397-2604
Fax: (501) 397-2645
Type: Mailing
Frankie Lane, White Hall, Jefferson County, Arkansas, 71602, United States
WHITE HALL, AR 716022685
Phone: (501) 397-2604
Fax: (501) 397-2645
Type: Location
2001 CLUB MANOR DR STE S
MAUMELLE, AR 721137417
Phone: (501) 734-8085
Fax: (501) 734-8088
Type: Location
1808 W MAIN ST
RUSSELLVILLE, AR 728012724
Phone: (479) 964-4178
Fax: (479) 964-5910
Type: Mailing
PO BOX 13554
MAUMELLE, AR 721130554
Phone: (501) 350-8505
Fax: (501) 488-1020
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100809000688 | I | Family Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 16 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 17 | 17 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 71612)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Internal Medicine | AR | |
| - | AR | |
| - | AR | |
| - | AR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.