DR. TIFFANY NICOLE TRACY (MD) – Obstetrics & Gynecology Physician, NPI 1619226255

DR. TIFFANY NICOLE TRACY (MD) is a healthcare provider. based in Porter, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. Q4864 (TX). The NPI Number for DR. TIFFANY NICOLE TRACY (MD) is 1619226255

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY NICOLE TRACY (MD)
NPI
1619226255
Phone
(713) 442-2100
Address
25553 Highway 59
Enumeration Date
29 August 2012
Last Update Date
13 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
3456741500
Graduation Year
2011 (15 years ago)
PAC ID
1355658436
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20150922002799
Address ID
TX773542480TH33003LANE300

Contacts

FHIR Endpoint
https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/
Secure Messaging
ttracy19148@direct.kelsey-seybold.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

3,165 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for DR. TIFFANY NICOLE TRACY (MD)

  • 25553 Highway 59

    Porter, TX 773656154

    Phone: (713) 442-2100

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 17198 ST LUKES WAY

    SUITE 540

    THE WOODLANDS, TX 773848011

    Phone: (713) 442-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$218

General + Research + Ownership

Payments

5

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2015-09-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150922002799IObstetrics/GynecologyTXTBD

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 77365)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

How do payers reference DR. TIFFANY NICOLE TRACY (MD)?
For DR. TIFFANY NICOLE TRACY (MD), use NPI 1619226255 as the unique 10-digit identifier.
Is there an active status for DR. TIFFANY NICOLE TRACY (MD)?
For scheduling context, DR. TIFFANY NICOLE TRACY (MD) is shown as active in the registry.
What kind of doctor is DR. TIFFANY NICOLE TRACY (MD)?
DR. TIFFANY NICOLE TRACY (MD) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. TIFFANY NICOLE TRACY (MD) located near Porter?
DR. TIFFANY NICOLE TRACY (MD) currently maps to Porter, Texas in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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