DR. ELISABETH TRACEY (M.D.) – Dermatology Physician, NPI 1134575269
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. ELISABETH TRACEY (M.D.)
2000 AUBURN DR.
STE.350
BEACHWOOD, OH 441224327
Phone: (440) 646-1600
Fax: (440) 646-1505
Type: Mailing
4350 CROCKER ROAD
STE.300
WESTLAKE, OH 441456329
Phone: (440) 588-8005
Fax: (440) 835-4790
Type: Location
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441950001
Phone:
Type: Mailing
Crocker Road, Westlake, Cuyahoga County, Ohio, 44070, United States
WESTLAKE, OH 441456329
Phone: (440) 443-0423
Fax: (440) 443-0414
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 169 Open Payments records for all available years, with a total value of $3,214.
Total Amount is formed as General ($3,214) + Research ($0) + Ownership ($0) = $3,214.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($524).
Total Amount
$3,214
General + Research + Ownership
Payments
169
Total payment records
General Amount
$3,214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $524 |
| Lilly USA, LLC | $524 |
| E.R. Squibb & Sons, L.L.C. | $284 |
| Regeneron Healthcare Solutions, Inc. | $190 |
| Dermavant Sciences, Inc. | $170 |
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: 2020-08-28
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 |
|---|---|---|---|---|
| I20200828001345 | I | Dermatology | OH | 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 | 1,757 | 236 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 689 | 417 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 434 | 302 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 405 | 261 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 358 | 193 | $0 |
Insurance plans in this area (ZIP 44122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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