TRACY LOGAN PERSILY D.O.
NPI 1568804912
Family Medicine in Willingboro, NJ

Q: What is Tracy Persily's NPI number?

The NPI number for Tracy Persily is 1568804912. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Q: What is Tracy Persily's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Persily was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 July 26, 2013PECOS EnrolledAccepts Medicare Assignment

200 CAMPBELL DR STE 115, WILLINGBORO, NJ 08046(856) 536-1515 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 8, 2024, May 22, 2020 (2 updates tracked since 2020).

On this page

About Tracy Logan Persily D.o. NPPES

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

TRACY LOGAN PERSILY D.O. (NPI 1568804912) is an individual family medicine provider in Willingboro, New Jersey, licensed in New Jersey (25MB09743400) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Cherry Hill.

NPPES Registry Identity

NPI1568804912

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTRACY LOGAN PERSILYCredential: D.O.

Location Address200 CAMPBELL DR STE 115Willingboro, NJ 08046-1067

Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107

Phone(856) 536-1515

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2013

Enumeration DateJuly 26, 2013

Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1568804912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MB09743400

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.

200 CAMPBELL DR STE 115, Willingboro, NJ 08046

Open in Google Maps ↗

Secondary Practice Location 1

Location 1457 Haddonfield RdCherry Hill, NJ 08002-2220 · Phone (844) 542-2273

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 Logan Persily D.o. 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 ID1052600699

PECOS Enrollment IDI20160520000449

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.

304 services163 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.

80 services80 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 services40 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.

32 services30 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

23 services23 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08046 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Other Providers at the Same Location NPPES 4

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

DR. CHRISTOPHER SALERNO DO

Family Medicine

200 CAMPBELL DR STE 115
WILLINGBORO, NJ 08046

Burlington County (856) 536-1515

LAURIE Y NEMETH DO

Family Medicine

200 CAMPBELL DR STE 115
WILLINGBORO, NJ 08046

Burlington County (856) 536-1515

SHARMILA GALVELIS

Nurse Practitioner (Family)

200 CAMPBELL DR STE 115
WILLINGBORO, NJ 08046

Burlington County (856) 536-1515

DR. PATRICIA MARIE LUCERI D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

200 CAMPBELL DR STE 115
WILLINGBORO, NJ 08046

Burlington County (856) 536-1515

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 Persily's NPI number?

The NPI number for Tracy Persily is 1568804912. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Where is Tracy Persily located?

Tracy Persily practices at 200 Campbell Dr Ste 115, Willingboro, NJ 08046. The listed phone number is (856) 536-1515.

What is Tracy Persily's specialty?

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

Is Tracy Persily enrolled in Medicare?

Yes. Tracy Persily 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.

Is Tracy Persily affiliated with any hospitals?

According to CMS data, Tracy Persily is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Persily was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.