TRACY J TACKET DO
NPI 1487775847
Family Medicine in Niles, MI

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
4 LONGMEADOW VILLAGE DR, NILES, MI 49120(269) 684-6000(269) 684-1388 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy J Tacket Do NPPES

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

TRACY J TACKET DO (NPI 1487775847) is an individual family medicine provider in Niles, Michigan, licensed in Michigan (5101017117) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1989).

NPPES Registry Identity

NPI1487775847
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACY J TACKETCredential: DO
Location Address4 LONGMEADOW VILLAGE DRNiles, MI 49120-7809
Mailing Address4 Longmeadow Village DrNiles, MI 49120-7809 · (269) 684-6000 · Fax (269) 684-1388
Fax(269) 684-1388
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1989
Enumeration DateApril 3, 2007
Last NPPES UpdateJune 8, 2012
NPI 1487775847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101017117
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.
4 LONGMEADOW VILLAGE DR, Niles, MI 49120

Other Identifiers 3

Medicaid1487775847MI
Medicare PINMI2051068MI
Medicare UPINE59046MI

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 J Tacket 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 ID6507965399
PECOS Enrollment IDI20070619000683
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 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.

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.
382 services164 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.
68 services68 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.
62 services50 patients
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.
57 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231315
Location420 W High StDowagiac, MI 49047 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 8

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 suppliers27 claims96 services$5.76 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers13 claims13 services$2.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims22 services$1.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims40 services$1.69 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
5 suppliers51 claims51 services$16.15 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
6 suppliers57 claims57 services$86.35 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 10

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

Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine (Addiction Medicine)
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR, SUITE 2
NILES, MI 49120
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120

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 Tacket's NPI number?

The NPI number for Tracy Tacket is 1487775847. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Tracy Tacket located?

Tracy Tacket practices at 4 Longmeadow Village Dr, Niles, MI 49120. The listed phone number is (269) 684-6000.

What is Tracy Tacket's specialty?

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

Is Tracy Tacket enrolled in Medicare?

Yes. Tracy Tacket 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 Tacket accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community and 1 other insurer list Tracy Tacket 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 Tracy Tacket affiliated with any hospitals?

According to CMS data, Tracy Tacket is affiliated with Memorial Hospital Of South Bend, Lakeland Hospital, St Joseph and Ascension Borgess Lee Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Tacket was last updated on June 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.