TRACY C ORTON (DO) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1437122744
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for TRACY C ORTON (DO)
5325 Faraon St
Plaza 3, Ste 160
Saint Joseph, MO 645063488
Phone: (816) 671-4840
Fax: (816) 671-4845
Type: Location
516 Linn St
Allegan, MI 490101525
Phone: (616) 994-2770
Fax: (616) 920-6533
Type: Location
5301 Faraon St Ste 160
Saint Joseph, MO 645063829
Phone: (816) 671-4840
Type: Location
North Wellness Drive, Holland Charter Township, Ottawa County, Michigan, 49422-1786, United States
HOLLAND, MI 494248122
Phone: (616) 994-2770
Fax: (616) 920-6533
Type: Mailing
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 $824.
Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AERIN MEDICAL INC. ($192).
Total Amount
$824
General + Research + Ownership
Payments
26
Total payment records
General Amount
$824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-08-16
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 |
|---|---|---|---|---|
| I20070816000601 | I | Otolaryngology | MI | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 498 | 13 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 385 | 23 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 264 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 224 | 168 | $0 |
| 95117 | Professional service for multiple injections of allergen | 180 | 25 | $0 |
Insurance plans in this area (ZIP 64506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | MO | 92540 | Observation, testing, and recording of abnormal eye movement | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI | |
| Physical Therapist In Private Practice | MI | |
| Qualified Audiologist | MI | |
| Physician Assistant | MI | |
| Physician Assistant | FL | |
| O T O L A R Y N G O L O G Y | MI |
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