DR. WALLACE LEE TRACY M.D.
NPI 1366438384
Family Medicine in De Witt, AR

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
1940 S WHITEHEAD DR, DE WITT, AR 72042(870) 946-4505(870) 946-2428 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wallace Lee Tracy M.d. NPPES

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

DR. WALLACE LEE TRACY M.D. (NPI 1366438384) is an individual family medicine provider in De Witt, Arkansas, licensed in Arkansas (C7340) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1987).

NPPES Registry Identity

NPI1366438384
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WALLACE LEE TRACYCredential: M.D.
Location Address1940 S WHITEHEAD DRDe Witt, AR 72042-2906
Mailing Address245 Madison StClarendon, AR 72029-2706 · (870) 747-1400
Fax(870) 946-2428
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1987
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
NPI 1366438384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · C7340
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.
1940 S WHITEHEAD DR, De Witt, AR 72042

Other Identifiers 1

Medicaid114942001AR

Accepted 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. Wallace Lee Tracy 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 ID3274659495
PECOS Enrollment IDI20100924001157
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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72042 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$70.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$16.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$90.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims360 services$0.67 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 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1940 S WHITEHEAD DR
DE WITT, AR 72042
Nurse Practitioner (Family)
1940 S WHITEHEAD DR
DE WITT, AR 72042
Preferred Provider Organization
1940 S WHITEHEAD DR
DE WITT, AR 72042
Counselor (Professional)
1940 S WHITEHEAD DR
DE WITT, AR 72042

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 Wallace Tracy's NPI number?

The NPI number for Wallace Tracy is 1366438384. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Wallace Tracy located?

Wallace Tracy practices at 1940 S Whitehead Dr, De Witt, AR 72042. The listed phone number is (870) 946-4505.

What is Wallace Tracy's specialty?

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

Is Wallace Tracy enrolled in Medicare?

Yes. Wallace 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.

What insurance does Wallace Tracy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Wallace 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.

When was this NPI record last updated?

The NPPES record for Wallace Tracy was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.