TRACY LYNN KOCEMBA OD
NPI 1467434647
Optometrist in Hayward, WI

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
15936 US HIGHWAY 63, HAYWARD, WI 54843(715) 634-1028(715) 634-9733 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Lynn Kocemba Od NPPES

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

TRACY LYNN KOCEMBA OD (NPI 1467434647) is an individual optometrist in Hayward, Wisconsin, licensed in Wisconsin (2684-035) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1997).

NPPES Registry Identity

NPI1467434647
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTRACY LYNN KOCEMBACredential: OD
Location Address15936 US HIGHWAY 63Hayward, WI 54843-7162
Mailing Address15936 Us Highway 63Hayward, WI 54843-7162 · (715) 634-1028 · Fax (715) 634-9733
Fax(715) 634-9733
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1997
Enumeration DateNovember 15, 2005
Last NPPES UpdateFebruary 23, 2009
NPI 1467434647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 2684-035
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

15936 US HIGHWAY 63, Hayward, WI 54843

Other Names 1

Former Name (1)Tracy Lynn Scott

Other Identifiers 6

OtherP00069305Palmetto Rr Medicare
Medicaid38600700WI
Medicare UPINU67782
Other874300004Medicare At Indianhead
Medicare NSC4768050001
Medicare PIN000147845

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

Tracy Lynn Kocemba Od 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 ID8921903725
PECOS Enrollment IDI20031204000805
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 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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
192 services191 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Tracy Kocemba's NPI number?

The NPI number for Tracy Kocemba is 1467434647. It was assigned to this individual provider in the NPPES registry on November 15, 2005. The provider is also known as Tracy Lynn Scott.

Where is Tracy Kocemba located?

Tracy Kocemba practices at 15936 Us Highway 63, Hayward, WI 54843. The listed phone number is (715) 634-1028.

What is Tracy Kocemba's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tracy Kocemba enrolled in Medicare?

Yes. Tracy Kocemba 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 Tracy Kocemba accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 3 other insurers list Tracy Kocemba 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 Tracy Kocemba was last updated on February 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.