TRACY A LILLIE (M.D.) – Family Medicine Physician, NPI 1689650848
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
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Provider Addresses for TRACY A LILLIE (M.D.)
1414, 9th Avenue, Altoona, Blair County, Pennsylvania, 16602, United States
STATION MEDICAL CENTER
ALTOONA, PA 166022454
Phone: (814) 946-1655
Fax: (814) 949-7616
Type: Mailing
4133 MEDICAL CENTER DR
BROAD TOP, PA 166219001
Phone: (814) 635-2916
Fax: (814) 635-2918
Type: Mailing
790 BRYAN ST
HUNTINGDON, PA 166522410
Phone: (814) 643-8299
Fax: (814) 643-8300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $941.
Total Amount is formed as General ($941) + Research ($0) + Ownership ($0) = $941.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($215).
Total Amount
$941
General + Research + Ownership
Payments
47
Total payment records
General Amount
$941
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $215 |
| GlaxoSmithKline, LLC. | $189 |
| Novo Nordisk Inc | $143 |
| Nevro Corp. | $62 |
| Phathom Pharmaceuticals, Inc. | $46 |
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: 2005-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050322000419 | I | Family Practice | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | PA | |
| Family Practice, Emergency Medicine | PA | |
| Family Practice, Sports Medicine | PA | |
| Internal Medicine | PA | |
| P S Y C H I A T R Y | KY | |
| P O D I A T R Y | PA | |
| - | PA | |
| Family Practice | PA | |
| Family Practice, Emergency Medicine | PA | |
| Physician Assistant | TN |
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