TRACY S D'ENTREMONT MD
NPI 1023036704
Internal Medicine - Hematology & Oncology in Philadelphia, PA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104(215) 615-5858(215) 349-8144 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy S D'entremont Md NPPES

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

TRACY S D'ENTREMONT MD (NPI 1023036704) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD069638L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Pennsylvania State University College Of Medicine (1997).

NPPES Registry Identity

NPI1023036704
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameTRACY S D'ENTREMONTCredential: MD
Location Address3400 CIVIC CENTER BOULEVARDPhiladelphia, PA 19104
Mailing Address3400 Spruce Street, 1218 Penn TowerPhiladelphia, PA 19104 · (215) 615-5858 · Fax (215) 349-8144
Fax(215) 349-8144
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1997
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 14, 2013
NPI 1023036704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in PA · MD069638L
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104

Other Identifiers 1

Medicare PIN068996PA

Accepted 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

Tracy S D'entremont Md 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 ID5991831554
PECOS Enrollment IDI20100407000556
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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
493 services292 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.
142 services123 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier11 claims11 services$18.36 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims13 services$35.71 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims181 services$6.59 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims44 services$274.97 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims49 services$8.05 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims49 services$25.15 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 20

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

Nurse Practitioner (Acute Care)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION 3RD FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD, 10TH FLOOR PERELMAN CENTER
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 CIVIC CENTER BOULEVARD, WEST PAVILLION - 1ST FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Primary Care)
3400 CIVIC CENTER BOULEVARD, 2ND FLOOR WEST
PHILADELPHIA, PA 19104

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 Tracy D'entremont's NPI number?

The NPI number for Tracy D'entremont is 1023036704. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Tracy D'entremont located?

Tracy D'entremont practices at 3400 Civic Center Boulevard, Philadelphia, PA 19104. The listed phone number is (215) 615-5858.

What is Tracy D'entremont's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Tracy D'entremont enrolled in Medicare?

Yes. Tracy D'entremont 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 Tracy D'entremont accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tracy D'entremont 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 Tracy D'entremont affiliated with any hospitals?

According to CMS data, Tracy D'entremont is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Chester County Hospital, Doylestown Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Tracy D'entremont was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.