1. Home
  2. Directory
  3. New York
  4. East Syracuse
  5. Dermatology
  6. NPI Profile

DR. VIRGINIA ALLDREDGE TRACEY M.D.
NPI 1336584523
Dermatology in East Syracuse, NY

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment
82.47/100
CMS Quality Rating
5824 WIDEWATERS PKWY STE 4, EAST SYRACUSE, NY 13057(315) 500-7546(315) 378-4210 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2020, Jun 22, 2018, Nov 21, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Virginia Alldredge Tracey M.d. NPPES

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

DR. VIRGINIA ALLDREDGE TRACEY M.D. (NPI 1336584523) is an individual dermatology provider in East Syracuse, New York, licensed in New York (295881) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2013).

NPPES Registry Identity

NPI1336584523
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. VIRGINIA ALLDREDGE TRACEYCredential: M.D.
Location Address5824 WIDEWATERS PKWY STE 4East Syracuse, NY 13057-3072
Mailing Address5824 Widewaters Pkwy Ste 4East Syracuse, NY 13057-3072 · (315) 500-7546 · Fax (315) 378-4210
Phone(315) 500-7546
Fax(315) 378-4210
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2013
Enumeration DateMay 1, 2013
Last NPPES UpdateNovember 5, 20205 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1336584523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 295881
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5824 WIDEWATERS PKWY STE 4, East Syracuse, NY 13057
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Virginia Dunn Alldredge M.d.

Other Identifiers 1

Other295881NY · Nys License

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

Dr. Virginia Alldredge Tracey 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 ID1254612179
PECOS Enrollment IDI20190205000789
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 Virginia Tracey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Magnolia Dermatology, PLLC
119 mi
Dermatology
582 NEW LOUDON RD
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1932889102 (518) 888-2012

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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
332 services71 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
117 services94 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
92 services82 patients
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.
91 services91 patients
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.
83 services65 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.
70 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.51
Promoting Interoperability91
Improvement Activities40
Cost65.56

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 Virginia Tracey's NPI number?

The NPI number for Virginia Tracey is 1336584523. It was assigned to this individual provider in the NPPES registry on May 1, 2013. The provider is also known as Dr. Virginia Dunn Alldredge M.D..

Where is Virginia Tracey located?

Virginia Tracey practices at 5824 Widewaters Pkwy Ste 4, East Syracuse, NY 13057. The listed phone number is (315) 500-7546.

What is Virginia Tracey's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Virginia Tracey enrolled in Medicare?

Yes. Virginia Tracey 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 Virginia Tracey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Tracey reassigns Medicare benefits to Magnolia Dermatology, PLLC (Latham, NY). 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 Virginia Tracey'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 Virginia Tracey was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.