TRACY HENDRICKS M.D.
NPI 1619993565
Family Medicine in Jacksonville, IL

Q: What is Tracy Hendricks's NPI number?

The NPI number for Tracy Hendricks is 1619993565. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Tracy Hendricks'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 Hendricks was last updated on May 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

610 N WESTGATE AVE, JACKSONVILLE, IL 62650(217) 245-9931 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Tracy Hendricks M.d. NPPES

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

TRACY HENDRICKS M.D. (NPI 1619993565) is an individual family medicine provider in Jacksonville, Illinois, licensed in Illinois (036102545) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1997).

NPPES Registry Identity

NPI1619993565

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTRACY HENDRICKSCredential: M.D.

Location Address610 N WESTGATE AVEJacksonville, IL 62650-1152

Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541

Phone(217) 245-9931

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1997

Enumeration DateJuly 14, 2006

Last NPPES UpdateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1619993565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036102545

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.

610 N WESTGATE AVE, Jacksonville, IL 62650

Open in Google Maps ↗

Other Identifiers 1

Medicaid036102545IL

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 Hendricks M.d. 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 ID3779476262

PECOS Enrollment IDI20040220000437

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 10

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.

209 services198 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.

199 services189 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

85 services85 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

70 services66 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

42 services32 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

38 services38 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Leave this field empty

Other Providers at the Same Location NPPES 5

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

SIU PHYSICIANS & SURGEONS, INC

Clinic/Center (Rural Health)