TRACI E ITO M.D.
NPI 1154687150
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in San Francisco, CA

Q: What is Traci Ito's NPI number?

The NPI number for Traci Ito is 1154687150. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Q: What is Traci Ito's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Traci Ito was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment

74.46/100

CMS Quality Rating

1500 OWENS ST STE 380, SAN FRANCISCO, CA 94158(415) 885-7788 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2022, Feb 1, 2022, Jun 18, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Traci E Ito M.d. NPPES

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

TRACI E ITO M.D. (NPI 1154687150) is an individual urogynecology and reconstructive pelvic surgery provider in San Francisco, California, licensed in California (A174188) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Southern Illinois University School Of Medicine (2012).

NPPES Registry Identity

NPI1154687150

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameTRACI E ITOCredential: M.D.

Location Address1500 OWENS ST STE 380San Francisco, CA 94158-2335

Mailing Address1001 Potrero Ave Rm 6d14San Francisco, CA 94110-3518 · (628) 206-8358 · Fax (628) 206-5554

Phone(415) 885-7788

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2012

Enumeration DateApril 4, 2012

Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1154687150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in CA · A174188

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 0101264682 (VA), A174188 (CA)

1500 OWENS ST STE 380, San Francisco, CA 94158

Open in Google Maps ↗

Secondary Practice Location 1

Location 11001 Potrero Ave Rm 6D14San Francisco, CA 94110-3518 · Phone (628) 206-8358 · Fax (628) 206-5554

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Traci E Ito 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 ID8729384235

PECOS Enrollment IDI20210824003345

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 94158 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

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.

74.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

46.68

Other Providers at the Same Location NPPES 4

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

ANNIE LI NP

Nurse Practitioner (Family)

1500 OWENS ST STE 380
SAN FRANCISCO, CA 94158

San Francisco County (415) 885-7788

JESSICA KIM MD

Obstetrics & Gynecology

1500 OWENS ST STE 380
SAN FRANCISCO, CA 94158

San Francisco County (415) 885-7788

ABIGAIL SHATKIN-MARGOLIS M.D.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

1500 OWENS ST STE 380
SAN FRANCISCO, CA 94158

San Francisco County (415) 885-7788

JESAHEL ALARCON MADFES FNP

Nurse Practitioner

1500 OWENS ST STE 380
SAN FRANCISCO, CA 94158

San Francisco County (415) 353-3400

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 Traci Ito's NPI number?

The NPI number for Traci Ito is 1154687150. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Traci Ito located?

Traci Ito practices at 1500 Owens St Ste 380, San Francisco, CA 94158. The listed phone number is (415) 885-7788.

What is Traci Ito's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Traci Ito enrolled in Medicare?

Yes. Traci Ito 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 Traci Ito accept?

Health plans from CareSource list Traci Ito 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 Traci Ito was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.