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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRACEY S CLONINGER PA-C
NPI 1164592275
Physician Assistant in Raleigh, NC

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
4201 LAKE BOONE TRL, SUITE 200, RALEIGH, NC 27607(919) 782-2152(919) 782-7929 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey S Cloninger Pa-c NPPES

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

TRACEY S CLONINGER PA-C (NPI 1164592275) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (103242) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2001).

NPPES Registry Identity

NPI1164592275
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRACEY S CLONINGERCredential: PA-C
Location Address4201 LAKE BOONE TRL, SUITE 200Raleigh, NC 27607-7511
Mailing AddressPo Box 23329New York, NY 10087-3329
Phone(919) 782-2152
Fax(919) 782-7929
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2001
Enumeration DateNovember 8, 2006
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1164592275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 103242
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4201 LAKE BOONE TRL, Raleigh, NC 27607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Tracey S Cloninger Pa-c 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 ID7012800329
PECOS Enrollment IDI20041113000268
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
593 services109 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.
337 services254 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
191 services147 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
144 services119 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
132 services119 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
131 services111 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
2%222 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%396 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%4,455 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
37%30 patients2/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
20%396 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%442 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%222 patients4/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
86%144 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%442 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%442 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

BIO-LIFECYCLE MEDICAL CENTERS, PLLC
Preventive Medicine (Public Health & General Preventive Medicine)
4201 LAKE BOONE TRL, STE 005
RALEIGH, NC 27607
Wake County (919) 851-9100
ANAM CARA WELLNESS PLLC
Psychiatry & Neurology (Psychiatry)
4201 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (984) 230-2416
GREGORY J WILMOTH M.D.
Dermatology (MOHS-Micrographic Surgery)
4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 782-2152
LINDSEY MCADAMS-PERRY LCSW
Social Worker (Clinical)
4201 LAKE BOONE TRL, STE 4
RALEIGH, NC 27607
Wake County (919) 781-4434
DR. ESTELLE CATHERINE TSALIK PT, DPT
Physical Therapist
4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607
Wake County (919) 781-4434
MRS. JENNIFER H SPANGLER MS, CCC-SLP
Speech-Language Pathologist
4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607
Wake County (919) 781-4434
DR. MARTHA FIELDS SIMPSON PHD
Psychologist
4201 LAKE BOONE TRL, SUITE 201
RALEIGH, NC 27607
Wake County (919) 785-0384
MISS BRITTANY D NORRIS M.S.
Speech-Language Pathologist
4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607
Wake County (919) 781-4434

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 Cloninger's NPI number?

The NPI number for Tracey Cloninger is 1164592275. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Tracey Cloninger located?

Tracey Cloninger practices at 4201 Lake Boone Trl Suite 200, Raleigh, NC 27607. The listed phone number is (919) 782-2152.

What is Tracey Cloninger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tracey Cloninger enrolled in Medicare?

Yes. Tracey Cloninger 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 Tracey Cloninger accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tracey Cloninger 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 Tracey Cloninger was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.