ABIGAIL JEAN TRACY (PA-C) – Physician Assistant, NPI 1336724590
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ABIGAIL JEAN TRACY (PA-C)
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Phone: (651) 484-2724
Fax: (651) 484-2723
Type: Mailing
1609 MORNINGSIDE RD
STILLWATER, MN 550826154
Phone: (651) 472-3422
Type: Mailing
3200 GRAND AVE
DES MOINES, IA 503124104
Phone: (515) 271-1569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $699.
Total Amount is formed as General ($699) + Research ($0) + Ownership ($0) = $699.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($211).
Total Amount
$699
General + Research + Ownership
Payments
26
Total payment records
General Amount
$699
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $211 |
| Medtronic, Inc. | $120 |
| Regeneron Healthcare Solutions, Inc. | $81 |
| Incyte Corporation | $42 |
| LEO Pharma Inc. | $35 |
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: 2022-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220928002448 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 562 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 283 | 217 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 173 | 124 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 157 | 120 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 129 | 100 | $0 |
Insurance plans in this area (ZIP 55127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| D E R M A T O L O G Y | WI | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Dermatology, Internal Medicine | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
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