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DR. TRAVIS JOHN PTACEK M.D.
NPI 1477819944
Family Medicine in Portsmouth, VA

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708(757) 953-5257 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Aug 19, 2020 (2 updates tracked since 2020).

About Dr. Travis John Ptacek M.d. NPPES

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

DR. TRAVIS JOHN PTACEK M.D. (NPI 1477819944) is an individual family medicine provider in Portsmouth, Virginia, licensed in South Dakota (12126) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Nebraska College Of Medicine (2012).

NPPES Registry Identity

NPI1477819944
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TRAVIS JOHN PTACEKCredential: M.D.
Location Address620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTHPortsmouth, VA 23708-2197
Mailing Address353 Fairmont BlvdRapid City, SD 57701-7375 · (605) 755-1000
Phone(757) 953-5257
Sole ProprietorNo
Medical School CMSNebraska College Of MedicineGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1477819944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 12126
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.
620 JOHN PAUL JONES CIRCLE, Portsmouth, VA 23708
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Medica, Oscar Insurance Company and more.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. Travis John Ptacek 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 ID5092087486
PECOS Enrollment IDI20200915002674, I20241011003157
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 16

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,179 services494 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
1,016 services260 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
839 services215 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
381 services365 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
298 services182 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
224 services148 patients

Hospital Affiliations CMS Care Compare 5

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

Fall River Hospital - Cah

Critical Access Hospitals · Hot Springs, SD
OwnershipGovernment - Local
CMS Certification Number431322
Location1201 Highway 71 SouthHot Springs, SD 57747 · Fall River County
Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23708 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 6

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier29 claims29 services$24.33 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier29 claims29 services$9.34 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims629 services$29.83 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers23 claims211 services$9.33 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier20 claims600 services$4.42 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier31 claims12,392 services$0.37 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 20

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

JUSTIN HOLLON M.D.
Pediatrics (Pediatric Gastroenterology)
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-4529
DR. MARK JOSEPH LENART MD
Anesthesiology
620 JOHN PAUL JONES CIRCLE, DEPARTMENT OF ANESTHESIOLOGY
PORTSMOUTH, VA 23708
Portsmouth City (757) 963-3238
DR. BRIAN MORRIS MD
General Practice
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (518) 813-5877
DR. CLINTON FORREST FAISON III M.D.
Pediatrics
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7424
DR. JOSE R ALMAGUER DDS
Dentist (General Practice)
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708
Portsmouth City (757) 314-6609
DR. FRANCIS PATRICK CUOZZO M.D.
Surgery (Vascular Surgery)
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-5008
DR. DAVID RYAN LAMBORN DO
Emergency Medicine
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-5000
MRS. KIMBERLY ANN FERLAND MA, OTR/L, CHT
Military Health Care Provider
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-5419

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 Travis Ptacek's NPI number?

The NPI number for Travis Ptacek is 1477819944. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Travis Ptacek located?

Travis Ptacek practices at 620 John Paul Jones Circle Naval Medical Center Portsmouth, Portsmouth, VA 23708. The listed phone number is (757) 953-5257.

What is Travis Ptacek's specialty?

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

Is Travis Ptacek enrolled in Medicare?

Yes. Travis Ptacek 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 Travis Ptacek accept?

Health plans from Blue Cross and Blue Shield of Montana, Medica, Oscar Insurance Company and Sanford Health Plan list Travis Ptacek 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 Travis Ptacek affiliated with any hospitals?

According to CMS data, Travis Ptacek is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Madison Regional Health System, Fall River Hospital - Cah and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Travis Ptacek was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.