TRACEYAN R. MENDEZ (M.D.) – Family Medicine Physician, NPI 1144260126

TRACEYAN R. MENDEZ (M.D.) is a healthcare provider. based in Lords valley, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 057831 (GA). The NPI Number for TRACEYAN R. MENDEZ (M.D.) is 1144260126

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
TRACEYAN R. MENDEZ (M.D.)
NPI
1144260126
Phone
(570) 775-7100
Address
750 ROUTE 739
Enumeration Date
7 June 2006
Last Update Date
6 April 2023

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
5707982828
Graduation Year
2003 (23 years ago)
PAC ID
5597778894
Group Practice PAC ID
3072598937
Professional Enrollment ID
I20060802000336
Address ID
PA184371020LA412XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for TRACEYAN R. MENDEZ (M.D.)

  • 750 ROUTE 739

    LORDS VALLEY, PA 184286058

    Phone: (570) 775-7100

    Fax: (570) 775-0950

    Type: Location

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • West End Healthcare Center, 120, Burrus Boulevard, Brodheadsville, Chestnuthill Township, Monroe County, Pennsylvania, 18322, United States

    BRODHEADSVILLE, PA 183227812

    Phone: (570) 420-6300

    Fax: (570) 402-2920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Abbott Laboratories ($42).

Total Amount

$124

General + Research + Ownership

Payments

7

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2014-12-09

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
I20141209000373IFamily PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18428)

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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: 3072598937View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
Family Practice, HospitalistPA
-PA
Nurse PractitionerPA
-PA
-PA
Nurse PractitionerPA
Internal MedicinePA
Family PracticePA
Physician AssistantPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRACEYAN R. MENDEZ (M.D.)?
TRACEYAN R. MENDEZ (M.D.) — NPI 1144260126 — is the standard way to identify this listing.
Does the file indicate TRACEYAN R. MENDEZ (M.D.) is practicing under active NPI?
Directory data currently reports TRACEYAN R. MENDEZ (M.D.) as active.
What taxonomy line describes TRACEYAN R. MENDEZ (M.D.)?
For research purposes, treat TRACEYAN R. MENDEZ (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does TRACEYAN R. MENDEZ (M.D.) serve?
TRACEYAN R. MENDEZ (M.D.)'s listing highlights Lords Valley, Pennsylvania; more addresses can appear in NPPES.
Is the information about TRACEYAN R. MENDEZ (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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