TRACY KATHERINE WICK MD
NPI 1174617203
Pediatrics - Adolescent Medicine in Dayton, OH

Q: What is Tracy Wick's NPI number?

The NPI number for Tracy Wick is 1174617203. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Tracy Wick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Wick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 03, 2006PECOS EnrolledAccepts Medicare Assignment

9000 NORTH MAIN STREET, SUITE 332, DAYTON, OH 45415(937) 832-7337(937) 832-4817 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tracy Katherine Wick Md NPPES

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

TRACY KATHERINE WICK MD (NPI 1174617203) is an individual adolescent medicine provider in Dayton, Ohio, licensed in Ohio (35075468) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1997).

NPPES Registry Identity

NPI1174617203

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameTRACY KATHERINE WICKCredential: MD

Location Address9000 NORTH MAIN STREET, SUITE 332Dayton, OH 45415-1185

Mailing Address9000 North Main Street, Suite 332Dayton, OH 45415-1185 · (937) 832-7337 · Fax (937) 832-4817

Phone(937) 832-7337

Fax(937) 832-4817

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1997

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174617203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in OH · 35075468

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

9000 NORTH MAIN STREET, Dayton, OH 45415

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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

Tracy Katherine Wick Md 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 ID547629255

PECOS Enrollment IDI20230628003281

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 9

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345

Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.

39,601 services142 patients

Affinity, per square centimeter Q4159

Affinity per square centimeter is a measure often used in medical research. It quantifies how strongly a substance binds to a specific target, like a drug to a receptor, on a microscopic area. This measure helps understand how effective a treatment could be.

2,317 services61 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

269 services47 patients

Application of light with debridement to destroy precancer skin growth 96574

This procedure involves applying a special light source to the skin after removing dead tissue (debridement). The light helps destroy precancerous growths, preventing them from developing into skin cancer. It's a safe and effective method to keep your skin healthy.

233 services158 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

89 services22 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

70 services28 patients

Other Providers at the Same Location NPPES 7

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

MAIN STREET FAMILY PRACTICE INC

Family Medicine

9000 NORTH MAIN STREET, SUITE 403
DAYTON, OH 45415

Montgomery County (937) 836-5171

GARY MICHAEL YOURA MD

Pediatrics (Adolescent Medicine)