TRACY LE DZIACKY (PA) – Physician Assistant, NPI 1972257558
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for TRACY LE DZIACKY (PA)
3665 Madaca Ln
Tampa, FL 336182048
Phone: (813) 280-7380
Fax: (813) 355-5899
Type: Location
38135 MARKET SQ
ZEPHYRHILLS, FL 335427505
Phone: (352) 567-0188
Fax: (813) 355-5101
Type: Mailing
3665 MADACA LN
TAMPA, FL 336182048
Phone: (813) 280-7380
Fax: (813) 355-5899
Type: Location
4701 NORMAL BLVD
LINCOLN, NE 685065563
Phone: (402) 488-5050
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($132).
Total Amount
$132
General + Research + Ownership
Payments
1
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Impulse Dynamics (USA) Inc. | $132 |
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: 2025-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220324000645 | I | Physician Assistant | FL | TBD |
| I20250103000823 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 432 | 253 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 158 | 143 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 39 | 25 | $0 |
Insurance plans in this area (ZIP 33618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Family Practice | NE | |
| Internal Medicine | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Family Practice | NE |
Reviews
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