TRACEY KATHLEEN TRACY (MD) – Family Medicine Physician, NPI 1073760955
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
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Provider Addresses for TRACEY KATHLEEN TRACY (MD)
506, 4th Street, La Grande, Union County, Oregon, 97850, United States
LA GRANDE, OR 978501906
Phone: (541) 663-3138
Fax: (541) 975-5120
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Phadia US Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phadia US Inc. | $19 |
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: 2023-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101102001013 | I | Family Practice | OR | TBD |
| I20230908002667 | I | Family Practice | SD | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 59 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 45 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97850)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | SD | |
| Nurse Practitioner | ME | |
| Family Practice | SD | |
| - | SD | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| Family Practice | SD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | SD |
Reviews
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