TRACEY L LEWIS (MD) – Ophthalmology Physician, NPI 1285626291

TRACEY L LEWIS (MD) is a healthcare provider. based in Ruskin, Florida. specializing in OPTOMETRY, OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME109860 (FL). The NPI Number for TRACEY L LEWIS (MD) is 1285626291

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY L LEWIS (MD)
NPI
1285626291
Phone
(138) 862-0208
Address
25 W COLLEGE AVE STE D
Enumeration Date
16 August 2005
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
8138862020
Graduation Year
1993 (33 years ago)
PAC ID
9335243682
Group Practice PAC ID
5698039279
Professional Enrollment ID
I20120625000071
Address ID
FL335722281AP445XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for TRACEY L LEWIS (MD)

  • 25 W COLLEGE AVE STE D

    RUSKIN, FL 335704701

    Phone: (138) 862-0208

    Fax: (888) 805-7385

    Type: Mailing

  • 936, Bichara Boulevard, Lady Lake, The Villages, Lake County, Florida, 32159, United States

    LADY LAKE, FL 321597714

    Phone: (352) 753-9888

    Fax: (352) 751-0068

    Type: Location

  • 936 Bichara Blvd

    Lady Lake, FL 321597714

    Phone: (352) 753-9888

    Fax: (352) 751-0068

    Type: Location

  • 442 W KENNEDY BLVD STE 280

    TAMPA, FL 336061464

    Phone: (813) 906-1755

    Fax: (813) 467-6013

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2012-06-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120625000071IOphthalmologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system568246$0
765122d ultrasound scan of eye tissue and structures12764$0
92014Established patient complete exam of visual system7070$0
92004New patient complete exam of visual system6666$0
92250Photography of the retina5858$0
View full utilization report →

Insurance plans in this area (ZIP 33570)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698039279View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How is TRACEY L LEWIS (MD) identified in CMS data?
CMS-hosted NPPES data lists TRACEY L LEWIS (MD) with NPI 1285626291.
Does CMS list TRACEY L LEWIS (MD) as active?
Yes — TRACEY L LEWIS (MD) is active in the NPI listing used on this page.
What healthcare role does TRACEY L LEWIS (MD) hold?
Scheduling teams often label TRACEY L LEWIS (MD) under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TRACEY L LEWIS (MD)?
TRACEY L LEWIS (MD)'s geographic hint is Ruskin, Florida in our summary view.
Is the information about TRACEY L LEWIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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