DR. TRACY BETH TOMJACK D.O.
NPI 1508179854
Family Medicine - Sports Medicine in Watford City, ND
About Dr. Tracy Beth Tomjack D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRACY BETH TOMJACK D.O. (NPI 1508179854) is an individual sports medicine provider in Watford City, North Dakota, licensed in North Dakota (13097) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Tioga Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tracy Beth Tomjack D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tracy Tomjack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watford City, ND 58854
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1518988948 (North Dakota)
- 108 clinicians in this Medicare group
New Town, ND 58763
- Reassigned Medicare billing, North Dakota enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tioga Medical Center
Critical Access Hospitals · Tioga, NDMountrail County Medical Center Inc
Critical Access Hospitals · Stanley, NDMckenzie County Healthcare Systems Inc
Critical Access Hospitals · Watford City, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WATFORD CITY, ND 58854
WATFORD CITY, ND 58854
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 Tomjack's NPI number?
The NPI number for Tracy Tomjack is 1508179854. It was assigned to this individual provider in the NPPES registry on July 15, 2010.
Where is Tracy Tomjack located?
Tracy Tomjack practices at 709 4th Ave NE, Watford City, ND 58854. The listed phone number is (701) 444-8730.
What is Tracy Tomjack's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Tracy Tomjack enrolled in Medicare?
Yes. Tracy Tomjack is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tracy Tomjack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Tomjack reassigns Medicare benefits to 2 organizations: Mckenzie County Healthcare Systems Inc (Watford City, ND) and Elbowoods Memorial Health Center (New Town, ND). Each 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 Tracy Tomjack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Tomjack accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Tracy Tomjack 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 Tomjack affiliated with any hospitals?
According to CMS data, Tracy Tomjack is affiliated with Tioga Medical Center, Mountrail County Medical Center Inc and Mckenzie County Healthcare Systems Inc.
When was this NPI record last updated?
The NPPES record for Tracy Tomjack was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Tracy Beth Tomjack, D.O. · NPI 1508179854
Sports Medicine physician in Watford City, North Dakota. Individual provider, active in the CMS NPPES registry since July 15, 2010.
## Identity
- **NPI:** 1508179854 (Entity type: Individual)
- **Enumerated:** July 15, 2010
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 13097 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 709 4TH AVE NE, Watford City, ND 58854-7628
- **Phone:** (701) 444-8730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mckenzie County Healthcare Systems Inc (NPI 1063420495, Watford City, ND); Elbowoods Memorial Health Center (NPI 1831365519, New Town, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1508179854) · Data from the CMS NPPES public registry.