TRACY FONG
NPI 1215314125
Family Medicine in Dayton, OH

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
2261 PHILADELPHIA DRIVE, DAYTON, OH 45406(937) 734-4141 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1215314125
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACY FONG
Location Address2261 PHILADELPHIA DRIVEDayton, OH 45406
Mailing Address26415 Carl Boyer DrSanta Clarita, CA 91350-5824 · (888) 778-5000
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1215314125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A147530
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2261 PHILADELPHIA DRIVE, Dayton, OH 45406

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 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.

PECOS PAC ID4688988470
PECOS Enrollment IDI20180918001803
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.

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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Family Medicine
2261 PHILADELPHIA DRIVE, FIVE RIVERS FAMILY HEALTH CENTER
DAYTON, OH 45406
Family Medicine
2261 PHILADELPHIA DRIVE
DAYTON, OH 45406
Social Worker (Clinical)
2261 PHILADELPHIA DRIVE
DAYTON, OH 45406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215314125, enumerated as an "individual" on April 29, 2015.

The provider is located at 2261 PHILADELPHIA DRIVE DAYTON, OH 45406 and the phone number is (937) 734-4141.

Family Medicine with taxonomy code 207Q00000X.