DR. ERIN MACKENZIE TRACY (DO) – Family Medicine Physician, NPI 1205332772

DR. ERIN MACKENZIE TRACY (DO) is a healthcare provider. based in Dayton, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. T0142 (TX). The NPI Number for DR. ERIN MACKENZIE TRACY (DO) is 1205332772

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIN MACKENZIE TRACY (DO)
NPI
1205332772
Phone
(414) 193-7734
Address
2261 PHILADELPHIA DR STE 300
Enumeration Date
3 April 2018
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
5139886369
Graduation Year
2018 (8 years ago)
PAC ID
8820348600
Group Practice PAC ID
9537066584
Professional Enrollment ID
I20241121003373
Address ID
OH450679602TR3590XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

4,432 FAMILY PRACTICE in OH

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Provider Addresses for DR. ERIN MACKENZIE TRACY (DO)

  • Philadelphia Drive, Dayton, Montgomery County, Ohio, 45415, United States

    DAYTON, OH 454061814

    Phone: (414) 193-7734

    Fax: (937) 277-7249

    Type: Mailing

  • 2261 Philadelphia Dr Ste 301

    Dayton, OH 454061814

    Phone: (937) 734-4141

    Fax: (937) 277-7249

    Type: Location

  • 14530 NW Military Hwy

    Shavano Park, TX 782311622

    Phone: (210) 450-6620

    Fax: (210) 450-6621

    Type: Location

  • 14530 NW MILITARY HWY

    SHAVANO PARK, TX 782311622

    Phone: (210) 450-6620

    Fax: (210) 450-6621

    Type: Location

  • 3590 BUSENBARK RD STE 400

    TRENTON, OH 450679602

    Phone: (139) 886-3695

    Fax: (513) 869-4624

    Type: Mailing

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: 2024-11-21

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
I20210715001493IFamily PracticeTXTBD
I20241121003373IFamily PracticeOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13789$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
G0008Administration of influenza virus vaccine4141$0
90662Influenza vaccine split virus, preservative free3636$0
99215Established patient office or other outpatient visit, 40-54 minutes2519$0
View full utilization report →

Insurance plans in this area (ZIP 45406)

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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: 9537066584View full group profile
NameSpecialtyState
Physician AssistantOH
Family PracticeMD
-OH
General SurgeryOH
Family PracticeOH
-OH
Registered Dietitian Or Nutrition ProfessionalOH
Internal MedicineOH
-OH
Internal MedicineOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ERIN MACKENZIE TRACY (DO)?
DR. ERIN MACKENZIE TRACY (DO) — NPI 1205332772 — is the standard way to identify this listing.
Can I rely on DR. ERIN MACKENZIE TRACY (DO) being an active provider?
As of the registry snapshot, DR. ERIN MACKENZIE TRACY (DO) is marked active.
What is DR. ERIN MACKENZIE TRACY (DO)'s specialty?
The listing groups DR. ERIN MACKENZIE TRACY (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. ERIN MACKENZIE TRACY (DO) serve?
DR. ERIN MACKENZIE TRACY (DO)'s listing highlights Dayton, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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