TRACI CARDINAL (PA) – Medical Physician Assistant, NPI 1487783080

TRACI CARDINAL (PA) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.003064 (OH). The NPI Number for TRACI CARDINAL (PA) is 1487783080

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TRACI CARDINAL (PA)
NPI
1487783080
Phone
(937) 252-2000
Address
1010 WOODMAN DR
Enumeration Date
2 March 2007
Last Update Date
12 August 2010

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9372804988
Graduation Year
2006 (20 years ago)
PAC ID
0941306062
Group Practice PAC ID
0648174979
Professional Enrollment ID
I20100813000248
Address ID
OH454152328DA7980XSTXX400
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

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for TRACI CARDINAL (PA)

  • 1010 WOODMAN DR

    DAYTON, OH 454321400

    Phone: (937) 252-2000

    Type: Location

  • 877C STONE CROSSING LN

    SPRINGFIELD, OH 455035062

    Phone: (678) 471-1252

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($135).

Total Amount

$317

General + Research + Ownership

Payments

12

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-13

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
I20100813000248IPhysician AssistantOHTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7414$0
99214Established patient office or other outpatient visit, 30-39 minutes5856$0
99213Established patient office or other outpatient visit, 20-29 minutes3936$0
72110X-ray of lower and sacral spine, minimum of 4 views3838$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 45432)

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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: 0648174979View full group profile
NameSpecialtyState
Nurse PractitionerOH
Family PracticeOH
Orthopedic SurgeryOH
P O D I A T R YOH
Physician AssistantOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

Does TRACI CARDINAL (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TRACI CARDINAL (PA) uses 1487783080.
Can I rely on TRACI CARDINAL (PA) being an active provider?
As of the registry snapshot, TRACI CARDINAL (PA) is marked active.
What is TRACI CARDINAL (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for TRACI CARDINAL (PA) here. Clinical services aligned with this taxonomy classification.
What address line appears for TRACI CARDINAL (PA)?
TRACI CARDINAL (PA)'s geographic hint is Dayton, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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