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ROBERT N TRACY M.D.
NPI 1003848763
Family Medicine in Edgewood, KY

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
413 SOUTH LOOP ROAD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Jul 7, 2020, Apr 16, 2020 and 2 more (5 updates tracked since 2015).

About Robert N Tracy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT N TRACY M.D. (NPI 1003848763) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (26618) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Highland Heights.

NPPES Registry Identity

NPI1003848763
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT N TRACYCredential: M.D.
Location Address413 SOUTH LOOP ROADEdgewood, KY 41017-5446
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 781-4111 · Fax (859) 441-5214
Phone(859) 301-3800
Fax(859) 301-3987
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1988
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 30, 20225 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1003848763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 26618
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
413 SOUTH LOOP ROAD, Edgewood, KY 41017
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Secondary Practice Location 1

Location 12626 Alexandria PikeHighland Heights, KY 41076-1530 · Phone (859) 781-4111 · Fax (859) 441-5214

Other Identifiers 4

Medicaid0101286OH
Other080092534KY · Railroad Medicare
OtherP00839856KY · Railroad Medicare
Medicaid64266182KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert N Tracy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345382164
PECOS Enrollment IDI20100116000156
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
126 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%238 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%371 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%411 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
41%333 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers64 claims150 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers29 claims39 services$1.16 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims66 services$12.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$46.62 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims72 services$1.70 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$50.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANNON K BENTLEY M.D.
Family Medicine
413 SOUTH LOOP ROAD, ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. MARY ANN BARNES MD
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
SARAH BETH FLORA M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
KENNETH BAZYDLO
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
BOBBI OMORI LAKIN M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. CHRISANTHY ZOWTIAK MD
Family Medicine
413 SOUTH LOOP ROAD, ST. ELIZABETH HEALTHCARE CENTER FOR FAMILY MEDICINE
EDGEWOOD, KY 41017
Kenton County (859) 301-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Tracy's NPI number?

The NPI number for Robert Tracy is 1003848763. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Robert Tracy located?

Robert Tracy practices at 413 South Loop Road, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Robert Tracy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Tracy enrolled in Medicare?

Yes. Robert Tracy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Tracy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Robert Tracy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Tracy affiliated with any hospitals?

According to CMS data, Robert Tracy is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Robert Tracy was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.