TRACY TYSON M.D.
NPI 1205865045
Pediatrics in Saint Albans, VT
About Tracy Tyson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY TYSON M.D. (NPI 1205865045) is an individual pediatrics provider in Saint Albans, Vermont, licensed in Florida (ME96031) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Enosburg Falls.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy Tyson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracy Tyson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Williston, VT 05495
- Reassigned Medicare billing, Vermont enrollment
- 53 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 05478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tracy Tyson's NPI number?
The NPI number for Tracy Tyson is 1205865045. It was assigned to this individual provider in the NPPES registry on July 2, 2006.
Where is Tracy Tyson located?
Tracy Tyson practices at 11 Crest Rd, Saint Albans, VT 05478. The listed phone number is (802) 527-8189.
What is Tracy Tyson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Tracy Tyson enrolled in Medicare?
Yes. Tracy Tyson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracy Tyson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Tyson reassigns Medicare benefits to Primary Care Health Partners - Vermont LLP (Williston, VT). 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 Tracy Tyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Tyson accept?
Health plans from Anthem Blue Cross and Blue Shield list Tracy Tyson 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 Tracy Tyson was last updated on June 30, 2023. 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.
# Tracy Tyson, M.D. · NPI 1205865045
Pediatrics physician in Saint Albans, Vermont. Individual provider, active in the CMS NPPES registry since July 2, 2006.
## Identity
- **NPI:** 1205865045 (Entity type: Individual)
- **Enumerated:** July 2, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** ME96031 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 11 CREST RD, Saint Albans, VT 05478-9701
- **Phone:** (802) 527-8189 · **Fax:** (802) 527-8187
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Primary Care Health Partners - Vermont LLP (NPI 1285687616, Williston, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2023
- **Other identifiers:** Medicaid 275570000 (FL); Other 57012 (FL); Medicaid 202194472A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1205865045) · Data from the CMS NPPES public registry.