DAVID P TRACY (MD) – Diagnostic Radiology Physician, NPI 1033121892

DAVID P TRACY (MD) is a healthcare provider. based in Port huron, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 066578 (MI). The NPI Number for DAVID P TRACY (MD) is 1033121892

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DAVID P TRACY (MD)
NPI
1033121892
Phone
(810) 985-0029
Address
1530 PINE GROVE AVE
Enumeration Date
12 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8004756112
Graduation Year
1990 (36 years ago)
PAC ID
0143264333
Group Practice PAC ID
7113456831
Professional Enrollment ID
I20050617000929
Address ID
MI481706225PL729XXTRLX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DAVID P TRACY (MD)

  • Visiting Angels Senior Home Care Port Huron, 1530, Pine Grove Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States

    STE 7

    PORT HURON, MI 48060

    Phone: (810) 985-0029

    Fax: (810) 985-0032

    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)

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: 2005-06-17

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
I20050617000929IDiagnostic RadiologyMITBD

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 48060)

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Provider's Procedures

DAVID P TRACY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71250CT scan chest5454
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front730509
DIAGNOSTIC RADIOLOGYMI73110X-ray of wrist, minimum of 3 views2524
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views7566
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views7067
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers6866

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: 7113456831View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional Radiology, Interventional RadiologyIL
Diagnostic RadiologyMA
Diagnostic RadiologyNJ
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyMO
Diagnostic Radiology, Nuclear MedicineCA
Diagnostic RadiologyMI
Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

What is the standard ID for DAVID P TRACY (MD) in the U.S.?
In the U.S., DAVID P TRACY (MD) is identified by NPI 1033121892.
Is DAVID P TRACY (MD)'s NPI status active today?
Active status means DAVID P TRACY (MD)'s NPI record is not deactivated in the public file.
What type of care does DAVID P TRACY (MD) provide?
DAVID P TRACY (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DAVID P TRACY (MD) in Port Huron, Michigan?
For routing, start with Port Huron, Michigan for DAVID P TRACY (MD), then verify phone and hours locally.
Can I export DAVID P TRACY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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