TRACEY H FAN D.O
NPI 1174055784
Psychiatry & Neurology - Neurology in Boston, MA

Q: What is Tracey Fan's NPI number?

The NPI number for Tracey Fan is 1174055784. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Q: What is Tracey Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Fan was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 02, 2017PECOS EnrolledAccepts Medicare Assignment

55 FRUIT ST # 721J, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Feb 28, 2022, Apr 2, 2017 (3 updates tracked since 2017).

On this page

About Tracey H Fan D.o NPPES

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

TRACEY H FAN D.O (NPI 1174055784) is an individual neurology provider in Boston, Massachusetts, licensed in Massachusetts (287765) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174055784

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameTRACEY H FANCredential: D.O

Location Address55 FRUIT ST # 721JBoston, MA 02114-2696

Mailing Address20 Englewood Ave Apt 104Brookline, MA 02445-2072

Phone(617) 726-2000

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2017

Enumeration DateApril 2, 2017

Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1174055784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in MA · 287765✔ Licensed in IA · DO-06915✔ Licensed in PA · OS024561C

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

55 FRUIT ST # 721J, Boston, MA 02114

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 887-2847

Location 29500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200 · Fax (216) 445-9908

Location 3228 Saint Charles Way Ste 200York, PA 17402-4661 · Phone (717) 851-5503 · Fax (717) 851-5507

Other Identifiers 1

OtherSA6390894MA · Driver License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Tracey H Fan D.o 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 ID2860761327

PECOS Enrollment IDI20230911002186, I20240528002368, I20250217001440

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

137 services58 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160029

Location500 E Market StreetIowa City, IA 52245 · Johnson County

Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450713

Location901 West Ben White BlvdAustin, TX 78704 · Travis County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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 Fan's NPI number?

The NPI number for Tracey Fan is 1174055784. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Tracey Fan located?

Tracey Fan practices at 55 Fruit St # 721J, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Tracey Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tracey Fan enrolled in Medicare?

Yes. Tracey Fan 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 Fan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Tracey Fan 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.

Is Tracey Fan affiliated with any hospitals?

According to CMS data, Tracey Fan is affiliated with The University Of Chicago Medical Center, University Of Iowa Health Care Medical Center Down, St David's South Austin Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Tracey Fan was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.