TRACEY M DAVENPORT M.D.
NPI 1114033826
Internal Medicine in Lincolnwood, IL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
7301 N LINCOLN AVE, LINCOLNWOOD, IL 60712(224) 766-7669(847) 674-0892 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2018, Dec 18, 2016 (2 updates tracked since 2016).

About Tracey M Davenport M.d. NPPES

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

TRACEY M DAVENPORT M.D. (NPI 1114033826) is an individual internal medicine provider in Lincolnwood, Illinois, licensed in Illinois (036-114303) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Southern Illinois University School Of Medicine (1995).

NPPES Registry Identity

NPI1114033826
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTRACEY M DAVENPORTCredential: M.D.
Location Address7301 N LINCOLN AVELincolnwood, IL 60712-1709
Mailing Address1333 Butterfield Rd, Ste 130Downers Grove, IL 60515-5641 · (630) 371-0133 · Fax (630) 371-0138
Fax(847) 674-0892
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1995
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 10, 20182 updates tracked since enumeration
NPI 1114033826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036-114303
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7301 N LINCOLN AVE, Lincolnwood, IL 60712

Other Names 1

Other Name (5)Tracey Alqasem

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 M Davenport 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 ID5799703245
PECOS Enrollment IDI20051103000670
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 13

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
723 services108 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
439 services50 patients
Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month 99425
Principal care management services involve managing a single high-risk disease. A qualified healthcare professional provides this service, dedicating additional 30 minutes each month to monitor and manage your condition. It's a continuous effort to ensure optimal health for you.
357 services47 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
247 services53 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
105 services18 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
65 services36 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60712 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$16.55 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.29 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 19

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

Family Medicine
7301 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Home Health
7301 N LINCOLN AVE, SUITE 129
LINCOLNWOOD, IL 60712
Clinic/Center (Medical Specialty)
7301 N LINCOLN AVE, SUITE 205
LINCOLNWOOD, IL 60712
Home Health
7301 N LINCOLN AVE, SUITE 175
LINCOLNWOOD, IL 60712
Home Health
7301 N LINCOLN AVE, SUITE 215
LINCOLNWOOD, IL 60712
Home Health
7301 N LINCOLN AVE, SUITE 119
LINCOLNWOOD, IL 60712
Internal Medicine
7301 N LINCOLN AVE, SUITE 183
LINCOLNWOOD, IL 60712
Durable Medical Equipment & Medical Supplies
7301 N LINCOLN AVE, SUITE 215
LINCOLNWOOD, IL 60712

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 Davenport's NPI number?

The NPI number for Tracey Davenport is 1114033826. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Tracey Alqasem.

Where is Tracey Davenport located?

Tracey Davenport practices at 7301 N Lincoln Ave, Lincolnwood, IL 60712. The listed phone number is (224) 766-7669.

What is Tracey Davenport's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tracey Davenport enrolled in Medicare?

Yes. Tracey Davenport 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.

Is Tracey Davenport affiliated with any hospitals?

According to CMS data, Tracey Davenport is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Tracey Davenport was last updated on January 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.