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DR. EMILIE A TACK DO
NPI 1235312448
Obstetrics & Gynecology in Brockton, MA

Active since December 11, 2007PECOS EnrolledAccepts Medicare Assignment
830 OAK ST STE 124E, BROCKTON, MA 02301(508) 897-4730 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2025, Mar 19, 2021 (2 updates tracked since 2021).

About Dr. Emilie A Tack Do NPPES

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

DR. EMILIE A TACK DO (NPI 1235312448) is an individual obstetrics & gynecology provider in Brockton, Massachusetts, licensed in Massachusetts (246375) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and maintains a secondary practice location in Norwood.

NPPES Registry Identity

NPI1235312448
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. EMILIE A TACKCredential: DO
Location Address830 OAK ST STE 124EBrockton, MA 02301-1192
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690 · (617) 414-4505 · Fax (781) 255-0774
Phone(508) 897-4730
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 11, 2007
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1235312448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MA · 246375✔ Licensed in MI · 5101017260
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
830 OAK ST STE 124E, Brockton, MA 02301
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Other Names 1

Former Name (1)Dr. Emilie Fisher Do

Secondary Practice Location 1

Location 11177 Providence HighwayNorwood, MA 02062 · Phone (781) 278-5575 · Fax (781) 255-0774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Dr. Emilie A Tack Do 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 ID2062550916
PECOS Enrollment IDI20110817000229
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 Emilie Tack's NPI number?

The NPI number for Emilie Tack is 1235312448. It was assigned to this individual provider in the NPPES registry on December 11, 2007. The provider is also known as Dr. Emilie Fisher Do.

Where is Emilie Tack located?

Emilie Tack practices at 830 Oak St Ste 124E, Brockton, MA 02301. The listed phone number is (508) 897-4730.

What is Emilie Tack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Emilie Tack enrolled in Medicare?

Yes. Emilie Tack 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.

What insurance does Emilie Tack accept?

Health plans from Anthem Blue Cross and Blue Shield list Emilie Tack 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.

Is Emilie Tack affiliated with any hospitals?

According to CMS data, Emilie Tack is affiliated with Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Emilie Tack was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.