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DR. TANYA MARIE RACKLEY M.D.
NPI 1184803090
Pediatrics in San Antonio, TX

Active since October 26, 2007PECOS Enrolled
1345 ALAMO RANCH PKWY, STE 203, SAN ANTONIO, TX 78253(210) 767-4000(210) 688-9418 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2017, Nov 16, 2015 (2 updates tracked since 2015).

About Dr. Tanya Marie Rackley M.d. NPPES

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

DR. TANYA MARIE RACKLEY M.D. (NPI 1184803090) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (M8267) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184803090
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TANYA MARIE RACKLEYCredential: M.D.
Location Address1345 ALAMO RANCH PKWY, STE 203San Antonio, TX 78253-6440
Mailing Address919 Hidden RdgIrving, TX 75038-3813 · (469) 282-2711 · Fax (469) 282-0996
Phone(210) 767-4000
Fax(210) 688-9418
Sole ProprietorYes
Enumeration DateOctober 26, 2007
Last NPPES UpdateJanuary 2, 20172 updates tracked since enumeration
✔ NPI 1184803090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · M8267✔ Licensed in TX · BP10021876
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1345 ALAMO RANCH PKWY, San Antonio, TX 78253
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Other Names 1

Former Name (1)Tanya Marie Mcglothlin

Other Identifiers 1

Medicaid215387605TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanya Marie Rackley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tanya Rackley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas
284 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

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 78253 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Tanya Rackley's NPI number?

The NPI number for Tanya Rackley is 1184803090. It was assigned to this individual provider in the NPPES registry on October 26, 2007. The provider is also known as Tanya Marie Mcglothlin.

Where is Tanya Rackley located?

Tanya Rackley practices at 1345 Alamo Ranch Pkwy Ste 203, San Antonio, TX 78253. The listed phone number is (210) 767-4000.

What is Tanya Rackley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tanya Rackley enrolled in Medicare?

Yes. Tanya Rackley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanya Rackley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Rackley reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The 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 Tanya Rackley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Rackley accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Tanya Rackley 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 Tanya Rackley was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.