DR. MOLLY TRACY (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1124210968

DR. MOLLY TRACY (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 235420 (MA). The NPI Number for DR. MOLLY TRACY (M.D.) is 1124210968

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOLLY TRACY (M.D.)
NPI
1124210968
Phone
(617) 355-6388
Address
300 LONGWOOD AVE
Enumeration Date
15 August 2007
Last Update Date
6 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6173556000
Graduation Year
2003 (23 years ago)
PAC ID
6204963358
Group Practice PAC ID
5496744195
Professional Enrollment ID
I20170322000297
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,144 NEUROLOGY in MA

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Provider Addresses for DR. MOLLY TRACY (M.D.)

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    FEGAN 11

    BOSTON, MA 021155724

    Phone: (617) 355-6388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($133).

Total Amount

$133

General + Research + Ownership

Payments

5

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2017-03-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100421000249INeurologyRITBD
I20170322000297INeurologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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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: 5496744195View full group profile
NameSpecialtyState
-MA
Pediatric Medicine, NeurologyMA
N E U R O L O G YMA
N E U R O L O G YMA
Neurology, Pediatric MedicineMA
Neurology, Pediatric MedicineMA
N E U R O L O G YMA
N E U R O L O G YMO
N E U R O L O G YMA
-MA

Reviews

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Frequently asked questions

What is the standard ID for DR. MOLLY TRACY (M.D.) in the U.S.?
In the U.S., DR. MOLLY TRACY (M.D.) is identified by NPI 1124210968.
Is DR. MOLLY TRACY (M.D.)'s NPI status active today?
Active status means DR. MOLLY TRACY (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. MOLLY TRACY (M.D.) provide?
DR. MOLLY TRACY (M.D.)'s profile centers on Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MOLLY TRACY (M.D.)?
DR. MOLLY TRACY (M.D.) shows a connection to Boston, Massachusetts in registry-derived data.
Who maintains DR. MOLLY TRACY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.