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DR. TRACEY F PETRIDES M.D.
NPI 1295927226
Family Medicine in Southaven, MS

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
5779 GETWELL ROAD, BUILDING D, SUITE 3, SOUTHAVEN, MS 38672(662) 510-6507(662) 510-6508 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tracey F Petrides M.d. NPPES

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

DR. TRACEY F PETRIDES M.D. (NPI 1295927226) is an individual family medicine provider in Southaven, Mississippi, licensed in Mississippi (17839) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1996).

NPPES Registry Identity

NPI1295927226
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TRACEY F PETRIDESCredential: M.D.
Location Address5779 GETWELL ROAD, BUILDING D, SUITE 3Southaven, MS 38672
Mailing Address5779 Getwell Road, Building D, Suite 3Southaven, MS 38672 · (662) 510-6507 · Fax (662) 510-6508
Phone(662) 510-6507
Fax(662) 510-6508
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1996
Enumeration DateAugust 14, 2007
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1295927226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 17839
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.
5779 GETWELL ROAD, Southaven, MS 38672
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Other Identifiers 3

Medicare PIN080005201MS
Medicare UPINH11075MS
Medicare UPINH11075

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. Tracey F Petrides M.d. 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 ID3072608827
PECOS Enrollment IDI20171009001290
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services42 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
55 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38672 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$6.46 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.73 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers15 claims135 services$2.46 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers11 claims310 services$3.27 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers31 claims897 services$5.03 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims9,430 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tracey Petrides's NPI number?

The NPI number for Tracey Petrides is 1295927226. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Tracey Petrides located?

Tracey Petrides practices at 5779 Getwell Road Building D, Suite 3, Southaven, MS 38672. The listed phone number is (662) 510-6507.

What is Tracey Petrides's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tracey Petrides enrolled in Medicare?

Yes. Tracey Petrides 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 Tracey Petrides accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Tracey Petrides 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 Tracey Petrides was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.