DR. TRACI-LYN EISENBERG D.O.
NPI 1053607630
Family Medicine in Davie, FL

Q: What is Traci-lyn Eisenberg's NPI number?

The NPI number for Traci-lyn Eisenberg is 1053607630. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Q: What is Traci-lyn Eisenberg's specialty?

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

Active since June 22, 2011PECOS Enrolled

3200 S UNIVERSITY DR, DAVIE, FL 33328(954) 262-4100 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Traci-lyn Eisenberg D.o. NPPES

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

DR. TRACI-LYN EISENBERG D.O. (NPI 1053607630) is an individual family medicine provider in Davie, Florida, licensed in Florida (OS12703) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053607630

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRACI-LYN EISENBERGCredential: D.O.

Location Address3200 S UNIVERSITY DRDavie, FL 33328-2018

Mailing Address3200 S University DrDavie, FL 33328-2018 · (954) 262-4100

Phone(954) 262-4100

Sole ProprietorNo

Enumeration DateJune 22, 2011

Last NPPES UpdateJanuary 10, 2017

✔ NPI 1053607630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS12703

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3200 S UNIVERSITY DR, Davie, FL 33328

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Traci-lyn Eisenberg D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Traci-lyn Eisenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nova Southeastern University, Inc

Same address

Family Medicine

3200 S UNIVERSITY DR
Davie, FL 33328

Reassigned Medicare billing, Florida enrollment
264 clinicians in this Medicare group

NPI 1447345517 (954) 262-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33328 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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.

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