MR. TRACEY G WELLENDORF MD
NPI 1528057387
Otolaryngology in Carroll, IA

Q: What is Tracey Wellendorf's NPI number?

The NPI number for Tracey Wellendorf is 1528057387. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Tracey Wellendorf's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Wellendorf was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment

405 S CLARK ST, SUITE 215, CARROLL, IA 51401(712) 792-4368(712) 792-2056 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Tracey G Wellendorf Md NPPES

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

MR. TRACEY G WELLENDORF MD (NPI 1528057387) is an individual otolaryngology provider in Carroll, Iowa, licensed in Iowa (30594) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Pocahontas Community Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1990).

NPPES Registry Identity

NPI1528057387

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameMR. TRACEY G WELLENDORFCredential: MD

Location Address405 S CLARK ST, SUITE 215Carroll, IA 51401-3065

Mailing AddressPo Box 766Carroll, IA 51401-0766 · (712) 792-4368 · Fax (712) 792-4351

Phone(712) 792-4368

Fax(712) 792-2056

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1990

Enumeration DateOctober 14, 2005

Last NPPES UpdateMarch 25, 2019

✔ NPI 1528057387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in IA · 30594

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

405 S CLARK ST, Carroll, IA 51401

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Other Identifiers 5

Medicaid1124032IA

Medicaid6124032IA

Medicaid2124032IA

Medicaid5124032IA

Medicaid3124032IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Tracey G Wellendorf Md 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 ID5193710580

PECOS Enrollment IDI20050608000669

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.

Medicare Billing Reassignments

Medicare enrollment records show Tracey Wellendorf reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellendorf Ent, P.C.

Same address

Otolaryngology

405 S CLARK ST, SUITE 215
Carroll, IA 51401

Reassigned Medicare billing, Iowa enrollment

NPI 1740494244 (712) 792-4368

St Anthony Regional Hospital And Nursing Home

Same address

Emergency Medicine

311 S CLARK ST
Carroll, IA 51401

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1720067127 (Iowa)
125 clinicians in this Medicare group

NPI 1891711925 (712) 792-3581

Montgomery County Memorial Hospital

73 mi

Critical Access

2301 EASTERN AVE
Red Oak, IA 51566

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1265405310 (Iowa)
67 clinicians in this Medicare group

NPI 1376539338 (712) 623-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

411 services309 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.

293 services224 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

252 services252 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

220 services171 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

107 services100 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

89 services76 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

65 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

55 services55 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

20 services13 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

17 services17 patients

Control of bleeding of nose using an endoscope 31238

This is a procedure where an endoscope, a thin tube with a light and camera, is used to view inside your nose. This allows the doctor to locate the source of the bleeding and control it, often by cauterization or packing the nose.

12 services12 patients

Incision of eardrum with placement of eardrum tube under general anesthesia 69436

This procedure involves making a small cut in the eardrum to drain fluid and alleviate pressure. A tiny tube is then inserted to keep the hole open and prevent further fluid buildup. General anesthesia is used to ensure patient comfort.

12 services12 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Pocahontas Community Hospital

Critical Access Hospitals · Pocahontas, IA

OwnershipGovernment - Local

CMS Certification Number161305

Location606 N W 7th StreetPocahontas, IA 50574 · Pocahontas County

Emergency services

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161334

Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County

Emergency services

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161363

Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County

Emergency services

Buena Vista Regional Medical Center

Critical Access Hospitals · Storm Lake, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161375

Location1525 West 5th StreetStorm Lake, IA 50588 · Buena Vista County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51401 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy

99%197 patients

Acute Otitis Externa (AOE): Topical Therapy

Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations

96%240 patients4/55-star benchmark: 100%

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms

Lower rates are better for this measure.

7%54 patients4/55-star benchmark: 100%

Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis

49%43 patients2/55-star benchmark: 100%

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)

Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis

Lower rates are better for this measure.

3%78 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

72%43 patients3/55-star benchmark: 100%

Sleep Apnea: Positive Airway Pressure Therapy Prescribed

Percentage of patients aged 18 years and older with a diagnosis of moderate or severe obstructive sleep apnea who were prescribed positive airway pressure therapy

97%79 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$74.65 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers14 claims14 services$19.49 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers18 claims18 services$18.57 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers17 claims97 services$2.51 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 15

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

PHARMACY ASSOCIATES OF CARROLL,INC

Pharmacy

405 S CLARK ST, SUITE 150
CARROLL, IA 51401

Carroll County (712) 792-3212

NELSON LO MD

Obstetrics & Gynecology

405 S CLARK ST
CARROLL, IA 51401

Carroll County (712) 792-0702

IOWA PHYSICIANS

Medical Genetics, Ph.D. Medical Genetics

405 S CLARK ST, STE 200
CARROLL, IA 51401

Carroll County (712) 792-0040

MATTHEW THOMAS WESSLING ARNP

Nurse Practitioner

405 S CLARK ST
CARROLL, IA 51401

Carroll County (712) 792-2222

MARK R COLLISON M.D.

Internal Medicine

405 S CLARK ST, SUITE 230
CARROLL, IA 51401

Carroll County (712) 794-2222

DR. DAVID NYSTROM D.O.

Family Medicine

405 S CLARK ST, SUITE # 230
CARROLL, IA 51401

Carroll County (712) 792-2222

VIVIAN DIANNE CHANCE ARNP

Nurse Practitioner (Family)

405 S CLARK ST, SUITE 215
CARROLL, IA 51401

Carroll County (712) 792-4368

KARLA KAY CHENEY MD

Pediatrics

405 S CLARK ST, SUITE 100
CARROLL, IA 51401

Carroll County (712) 792-2222

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 Tracey Wellendorf's NPI number?

The NPI number for Tracey Wellendorf is 1528057387. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Tracey Wellendorf located?

Tracey Wellendorf practices at 405 S Clark St Suite 215, Carroll, IA 51401. The listed phone number is (712) 792-4368.

What is Tracey Wellendorf's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tracey Wellendorf enrolled in Medicare?

Yes. Tracey Wellendorf 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.

Which organizations bill Medicare for Tracey Wellendorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Wellendorf reassigns Medicare benefits to 3 organizations: Wellendorf Ent, P.C. (Carroll, IA), St Anthony Regional Hospital And Nursing Home (Carroll, IA) and Montgomery County Memorial Hospital (Red Oak, IA). 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 Tracey Wellendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Wellendorf accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Tracey Wellendorf 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 Tracey Wellendorf affiliated with any hospitals?

According to CMS data, Tracey Wellendorf is affiliated with Pocahontas Community Hospital, Humboldt County Memorial Hospital, Montgomery County Memorial Hospital and Buena Vista Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tracey Wellendorf was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.