TOBY W TRACY DO
NPI 1316029689
Family Medicine in Little Egg Harbor, NJ

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
279 MATHISTOWN RD, LITTLE EGG HARBOR, NJ 08087(609) 296-1101 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Toby W Tracy Do NPPES

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

TOBY W TRACY DO (NPI 1316029689) is an individual family medicine provider in Little Egg Harbor, New Jersey, licensed in New Jersey (23MB07208500) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and maintains a secondary practice location in Manahawkin.

NPPES Registry Identity

NPI1316029689
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOBY W TRACYCredential: DO
Location Address279 MATHISTOWN RDLittle Egg Harbor, NJ 08087
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688 · Fax (609) 597-6833
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateOctober 19, 2006
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1316029689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 23MB07208500
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.
279 MATHISTOWN RD, Little Egg Harbor, NJ 08087

Secondary Practice Location 1

Location 11301 Route 72 W, Suite 240Manahawkin, NJ 08050-2417 · Phone (609) 597-7394 · Fax (609) 597-6833

Other Identifiers 2

Other223106655Tax Id
Medicaid8589801NJ

Accepted Insurance

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

Toby W Tracy 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 ID9830103639
PECOS Enrollment IDI20060201000110
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Toby Tracy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 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.

Areas of Expertise CMS Part B claims 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
280 services206 patients
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.
193 services141 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 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.
18 services18 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08087 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims72 services$5.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Orthopaedic Surgery
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Family Medicine
279 MATHISTOWN RD
LITTLE EGG HARBOR, NJ 08087
Counselor (Professional)
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Nurse Practitioner (Family)
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Non-Pharmacy Dispensing Site
279 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087

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 Toby Tracy's NPI number?

The NPI number for Toby Tracy is 1316029689. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Toby Tracy located?

Toby Tracy practices at 279 Mathistown Rd, Little Egg Harbor, NJ 08087. The listed phone number is (609) 296-1101.

What is Toby Tracy's specialty?

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

Is Toby Tracy enrolled in Medicare?

Yes. Toby Tracy 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 organizations bill Medicare for Toby Tracy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toby Tracy reassigns Medicare benefits to 2 organizations: Atlanticare Physician Group, PA (Galloway, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). Each 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 Toby Tracy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toby Tracy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Toby Tracy 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 Toby Tracy affiliated with any hospitals?

According to CMS data, Toby Tracy is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Toby Tracy was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.