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DR. TRACY E WALTERS DDS
NPI 1104915040
Dentist in Sebring, FL

Active since October 11, 2006PECOS Enrolled
4850 SUN N LAKE BLVD, SEBRING, FL 33872(863) 658-3276(863) 658-3290 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tracy E Walters Dds NPPES

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

DR. TRACY E WALTERS DDS (NPI 1104915040) is an individual dentist in Sebring, Florida, licensed in Florida (DN21053) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104915040
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TRACY E WALTERSCredential: DDS
Location Address4850 SUN N LAKE BLVDSebring, FL 33872-2110
Mailing Address4850 Sun N Lake BlvdSebring, FL 33872-2110 · (863) 658-3276 · Fax (863) 658-3290
Phone(863) 658-3276
Fax(863) 658-3290
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 4, 2016
✔ NPI 1104915040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · DN21053✔ Licensed in VA · 0401411606
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4850 SUN N LAKE BLVD, Sebring, FL 33872
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Other Identifiers 1

Medicaid1104915040FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Tracy E Walters Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 2

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

TRACY E. WALTERS DDS PA DBA SMILETASTIC
Dentist (General Practice)
4850 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 658-3276
ANTHONY SHYDOHUB MD PA
Psychiatry & Neurology (Neurology)
4850 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 382-6088

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 Walters's NPI number?

The NPI number for Tracy Walters is 1104915040. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Tracy Walters located?

Tracy Walters practices at 4850 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 658-3276.

What is Tracy Walters's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tracy Walters enrolled in Medicare?

Yes. Tracy Walters is registered in the Medicare PECOS enrollment system.

What insurance does Tracy Walters accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 6 other insurers list Tracy Walters 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.

When was this NPI record last updated?

The NPPES record for Tracy Walters was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.