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ROBERT A TRACY DO
NPI 1316219058
Family Medicine - Adult Medicine in Los Angeles, CA

Active since January 26, 2012PECOS EnrolledAccepts Medicare Assignment
3056 FLETCHER DR, LOS ANGELES, CA 90065(323) 256-2231(323) 892-2571 Get Directions Write a Review

NPPES record last updated: April 23, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Robert A Tracy Do NPPES

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

ROBERT A TRACY DO (NPI 1316219058) is an individual adult medicine provider in Los Angeles, California, licensed in California (2OA12632) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316219058
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameROBERT A TRACYCredential: DO
Location Address3056 FLETCHER DRLos Angeles, CA 90065-2207
Mailing Address3056 Fletcher DrLos Angeles, CA 90065-2207 · (323) 256-2231
Phone(323) 256-2231
Fax(323) 892-2571
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 26, 2012
Last NPPES UpdateApril 23, 2016
✔ NPI 1316219058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · 2OA12632
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3056 FLETCHER DR, Los Angeles, CA 90065
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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

Robert A 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 ID244457380
PECOS Enrollment IDI20140813000714
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 Reassignment

Medicare enrollment records show Robert Tracy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Robert Tracy Do, Inc
Same address
Family Medicine
3056 FLETCHER DR
Los Angeles, CA 90065
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1083005474 (323) 256-2231

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 2

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.
103 services45 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90065 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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
8 suppliers34 claims53 services$4.86 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$19.25 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 3

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

ROBERT TRACY DO, INC
Family Medicine
3056 FLETCHER DR
LOS ANGELES, CA 90065
Los Angeles County (323) 256-2231
MARTHA G MORRIS PA-C
Physician Assistant (Medical)
3056 FLETCHER DR
LOS ANGELES, CA 90065
Los Angeles County (323) 256-2231
APOLLOMED CARE CLINIC A PROFESSIONAL CORPORATION
Internal Medicine
3056 FLETCHER DR
LOS ANGELES, CA 90065
Los Angeles County (323) 256-2231

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 Robert Tracy's NPI number?

The NPI number for Robert Tracy is 1316219058. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Where is Robert Tracy located?

Robert Tracy practices at 3056 Fletcher Dr, Los Angeles, CA 90065. The listed phone number is (323) 256-2231.

What is Robert Tracy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Robert Tracy enrolled in Medicare?

Yes. Robert 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 organization bills Medicare for Robert Tracy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Tracy reassigns Medicare benefits to Robert Tracy Do, Inc (Los Angeles, 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 Robert Tracy'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 Robert Tracy was last updated on April 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.