TRACY LYNN WILKERSON DDS
NPI 1528024460
Dentist - Pediatric Dentistry in Charleston, WV

Active since April 20, 2006PECOS Enrolled
1400 KANAWHA BOULEVARD EAST, CHARLESTON, WV 25301(304) 345-0541(304) 345-8718 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Lynn Wilkerson Dds NPPES

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

TRACY LYNN WILKERSON DDS (NPI 1528024460) is an individual pediatric dentistry provider in Charleston, West Virginia, licensed in West Virginia (3529) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528024460
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameTRACY LYNN WILKERSONCredential: DDS
Location Address1400 KANAWHA BOULEVARD EASTCharleston, WV 25301
Mailing Address1400 Kanawha Boulevard EastCharleston, WV 25301 · (304) 345-0541 · Fax (304) 345-8718
Fax(304) 345-8718
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 18, 2008
NPI 1528024460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in WV · 3529
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1400 KANAWHA BOULEVARD EAST, Charleston, WV 25301

Other Identifiers 1

Medicaid4005111000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tracy Lynn Wilkerson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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 Wilkerson's NPI number?

The NPI number for Tracy Wilkerson is 1528024460. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Tracy Wilkerson located?

Tracy Wilkerson practices at 1400 Kanawha Boulevard East, Charleston, WV 25301. The listed phone number is (304) 345-0541.

What is Tracy Wilkerson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Tracy Wilkerson enrolled in Medicare?

Yes. Tracy Wilkerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Wilkerson was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.