TRACEY L BUSBY (M.D.) – Family Medicine Physician, NPI 1124072251

TRACEY L BUSBY (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. M7014 (ID). The NPI Number for TRACEY L BUSBY (M.D.) is 1124072251

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY L BUSBY (M.D.)
NPI
1124072251
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
22 May 2006
Last Update Date
30 July 2013

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
9638127087
Group Practice PAC ID
3173783818
Professional Enrollment ID
I20050112000311
Address ID
ID833338785HA1450XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

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Provider Addresses for TRACEY L BUSBY (M.D.)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • St Luke's Wood River Medical Center, 100, Hospital Drive, Ketchum, Blaine County, Idaho, 83340, United States

    SUITE 105

    KETCHUM, ID 833400000

    Phone: (208) 622-8811

    Fax: (208) 622-6921

    Type: Location

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: 2005-01-12

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
I20050112000311IFamily PracticeIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11670$0
99213Established patient office or other outpatient visit, 20-29 minutes7759$0
99212Established patient office or other outpatient visit, 10-19 minutes2523$0
99215Established patient office or other outpatient visit, 40-54 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 3173783818View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeID
Cardiovascular Disease (Cardiology)MN
Family PracticeID
-NM
O B S T E T R I C S/ G Y N E C O L O G YID
Physician AssistantID
P S Y C H I A T R YID
Gastroenterology, Internal Medicine, Family PracticeMT
Family PracticeID

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Frequently asked questions

What is the standard ID for TRACEY L BUSBY (M.D.) in the U.S.?
In the U.S., TRACEY L BUSBY (M.D.) is identified by NPI 1124072251.
Is TRACEY L BUSBY (M.D.)'s NPI status active today?
Active status means TRACEY L BUSBY (M.D.)'s NPI record is not deactivated in the public file.
What type of care does TRACEY L BUSBY (M.D.) provide?
TRACEY L BUSBY (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TRACEY L BUSBY (M.D.)?
The directory associates TRACEY L BUSBY (M.D.) with Boise, Idaho. Check all listed addresses for suites or satellite offices.
Who maintains TRACEY L BUSBY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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