TRACY BAZAN (MD) – Neuromuscular Medicine (Psychiatry & Neurology) Physician, NPI 1487073789

TRACY BAZAN (MD) is a healthcare provider. based in Portland, Oregon. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD187129 (OR). The NPI Number for TRACY BAZAN (MD) is 1487073789

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TRACY BAZAN (MD)
NPI
1487073789
Phone
(503) 494-8211
Address
3181 SW Sam Jackson Park Rd
Enumeration Date
15 April 2014
Last Update Date
25 November 2022

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
5032156405
Graduation Year
2014 (12 years ago)
PAC ID
0547489841
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20190919001910
Address ID
OR972132984PO5050XSTXX407
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

401 NEUROLOGY in OR

Provider Addresses for TRACY BAZAN (MD)

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-8211

    Type: Location

  • 10330 SE 32nd Ave Ste 226

    Milwaukie, OR 972226699

    Phone: (503) 513-8020

    Type: Location

  • 10330 SE 32ND AVE STE 226

    MILWAUKIE, OR 972226699

    Phone: (503) 513-8020

    Type: Location

  • 5050 NE HOYT ST STE 315

    PORTLAND, OR 972132982

    Phone: (503) 215-8580

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    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: 2019-09-19

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
I20190919001910INeurologyORTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study7952$0
99215Established patient office or other outpatient visit, 40-54 minutes7047$0
99214Established patient office or other outpatient visit, 30-39 minutes3824$0
94010Test to measure expiratory airflow and volume1612$0
95911Nerve conduction, 9-10 studies1616$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

Where can patients find TRACY BAZAN (MD)'s NPI?
You can confirm TRACY BAZAN (MD) with NPI 1487073789; it appears in the national provider directory.
Does this profile mean TRACY BAZAN (MD) is currently active?
Yes — TRACY BAZAN (MD) appears active in the national provider directory.
Does TRACY BAZAN (MD) list a primary specialty?
If you are matching referrals, note Neuromuscular Medicine (Psychiatry & Neurology) Physician for TRACY BAZAN (MD). Clinical services aligned with this taxonomy classification.
Does TRACY BAZAN (MD) practice in Oregon?
You will see Portland, Oregon on file for TRACY BAZAN (MD) alongside any extra practice locations.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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