TRACY FONG
NPI 1215314125
Family Medicine in Dayton, OH
About Tracy Fong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY FONG (NPI 1215314125) is an individual family medicine provider in Dayton, Ohio, licensed in California (A147530) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracy Fong 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.
Medicare Billing Reassignment
Medicare enrollment records show Tracy Fong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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 45406 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45406
DAYTON, OH 45406
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 Fong's NPI number?
The NPI number for Tracy Fong is 1215314125. It was assigned to this individual provider in the NPPES registry on April 29, 2015.
Where is Tracy Fong located?
Tracy Fong practices at 2261 Philadelphia Drive, Dayton, OH 45406. The listed phone number is (937) 734-4141.
What is Tracy Fong's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tracy Fong enrolled in Medicare?
Yes. Tracy Fong 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.
Which organization bills Medicare for Tracy Fong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Fong reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracy Fong was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Fong · NPI 1215314125
Family Medicine physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since April 29, 2015.
## Identity
- **NPI:** 1215314125 (Entity type: Individual)
- **Enumerated:** April 29, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A147530 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2261 PHILADELPHIA DRIVE, Dayton, OH 45406
- **Phone:** (937) 734-4141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** October 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215314125) · Data from the CMS NPPES public registry.