TRACI E ITO M.D.
NPI 1154687150
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in San Francisco, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Traci Ito reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- 842 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
Norfolk, VA 23508
- Reassigned Medicare billing, Virginia enrollment
- 267 clinicians in this Medicare group
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 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.
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.
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.
SAN FRANCISCO, CA 94158
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.
Which organizations bill Medicare for Traci Ito's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Ito reassigns Medicare benefits to 4 organizations: University Of California Sfgh Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Evms Academic Physicians And Surgeons Health Services Foundation (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Ito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Traci E Ito, M.D. · NPI 1154687150
Urogynecology and Reconstructive Pelvic Surgery physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 4, 2012.
## Identity
- **NPI:** 1154687150 (Entity type: Individual)
- **Enumerated:** April 4, 2012
- **Primary specialty:** Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery · taxonomy 207VF0040X
- **State license:** A174188 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 OWENS ST STE 380, San Francisco, CA 94158-2335
- **Phone:** (415) 885-7788
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of California Sfgh Medical Group (NPI 1174598296, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Evms Academic Physicians And Surgeons Health Services Foundation (NPI 1003887118, Norfolk, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** November 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154687150) · Data from the CMS NPPES public registry.