TRACY L COUSINS (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1679543383

TRACY L COUSINS (M.D.) is a healthcare provider. based in Wausau, Wisconsin. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 35452 (WI). The NPI Number for TRACY L COUSINS (M.D.) is 1679543383

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
TRACY L COUSINS (M.D.)
NPI
1679543383
Phone
(715) 847-0075
Address
425 PINE RIDGE BLVD STE 200
Enumeration Date
25 January 2006
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
7158472558
Graduation Year
1989 (37 years ago)
PAC ID
7517964521
Group Practice PAC ID
4385677814
Professional Enrollment ID
I20100916000531
Address ID
WI544014152WA411XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

354 PATHOLOGY in WI

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Provider Addresses for TRACY L COUSINS (M.D.)

  • 425 PINE RIDGE BLVD STE 200

    WAUSAU, WI 544014123

    Phone: (715) 847-0075

    Type: Mailing

  • 333, Pine Ridge Boulevard, Wausau, Marathon County, Wisconsin, 54401, United States

    WAUSAU, WI 544014120

    Phone: (715) 847-2130

    Type: Location

  • 2800 Westhill Drive, 2800, Westhill Drive, Aspirus Westhill Campus, Wausau, Marathon County, Wisconsin, 54401, United States

    SUITE 208

    WAUSAU, WI 544013771

    Phone: (715) 847-0075

    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: 2010-09-16

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
I20100916000531IPathologyWITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity745360$0
88342Special stained specimen slides to examine tissue, initial procedure1716$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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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: 4385677814View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
G A S T R O E N T E R O L O G YWI
P A T H O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WI
G A S T R O E N T E R O L O G YWI
G A S T R O E N T E R O L O G YWI
Gastroenterology, Internal Medicine, Geriatric MedicineWI

Reviews

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Frequently asked questions

Is TRACY L COUSINS (M.D.) listed with a National Provider Identifier?
Yes — TRACY L COUSINS (M.D.) has NPI 1679543383 on file in the registry.
Is TRACY L COUSINS (M.D.) still an active registrant?
TRACY L COUSINS (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to TRACY L COUSINS (M.D.)?
TRACY L COUSINS (M.D.)'s specialty line reads Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is TRACY L COUSINS (M.D.) located near Wausau?
TRACY L COUSINS (M.D.) currently maps to Wausau, Wisconsin in this extract.
When was this NPI issued?
Enumeration for TRACY L COUSINS (M.D.) is noted as January 25, 2006 where the registry provides it.

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