TRACEY L TAYLOR D.O.
NPI 1073968244
Family Medicine in Berkeley, CA

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
3100 SAN PABLO AVE # 310, BERKELEY, CA 94702(510) 985-5000 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2020, Mar 9, 2020 (2 updates tracked since 2020).

About Tracey L Taylor D.o. NPPES

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

TRACEY L TAYLOR D.O. (NPI 1073968244) is an individual family medicine provider in Berkeley, California, licensed in California (20A17010) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073968244
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACEY L TAYLORCredential: D.O.
Location Address3100 SAN PABLO AVE # 310Berkeley, CA 94702-2498
Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2855
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 25, 2016
Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1073968244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A17010
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.
3100 SAN PABLO AVE # 310, Berkeley, CA 94702

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

Tracey L Taylor D.o. 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 ID9335577303
PECOS Enrollment IDI20200325002917
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 7

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 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.
293 services155 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.
105 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94702 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.15 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 6

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

Family Medicine
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702
Family Medicine
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702
Nurse Practitioner (Family)
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702
Family Medicine
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702
Family Medicine
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702
Family Medicine
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702

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 Tracey Taylor's NPI number?

The NPI number for Tracey Taylor is 1073968244. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Tracey Taylor located?

Tracey Taylor practices at 3100 San Pablo Ave # 310, Berkeley, CA 94702. The listed phone number is (510) 985-5000.

What is Tracey Taylor's specialty?

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

Is Tracey Taylor enrolled in Medicare?

Yes. Tracey Taylor 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.

When was this NPI record last updated?

The NPPES record for Tracey Taylor was last updated on September 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.