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TRACI BARBOUR PA-C
NPI 1639677586
Physician Assistant in Raleigh, NC

Active since January 25, 2018PECOS EnrolledAccepts Medicare Assignment
3434 EDWARDS MILL RD STE 112-398, RALEIGH, NC 27612(919) 878-1819 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Mar 17, 2018, Feb 23, 2018 (3 updates tracked since 2018).

About Traci Barbour Pa-c NPPES

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

TRACI BARBOUR PA-C (NPI 1639677586) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-07861) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1639677586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRACI BARBOURCredential: PA-C
Location Address3434 EDWARDS MILL RD STE 112-398Raleigh, NC 27612-4275
Mailing Address3434 Edwards Mill Rd Ste 112-398Raleigh, NC 27612-4275 · (919) 878-1819
Phone(919) 878-1819
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2017
Enumeration DateJanuary 25, 2018
Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1639677586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-07861
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3434 EDWARDS MILL RD STE 112-398, Raleigh, NC 27612
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Secondary Practice Location 1

Location 13000 New Bern AveRaleigh, NC 27610-1231 · Phone (919) 878-1819

Other Identifiers 1

Other0010-07861NC · Nc Medical Board License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

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

Traci Barbour Pa-c 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 ID6709148752
PECOS Enrollment IDI20180403000578
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
140 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services54 patients
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.
13 services11 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 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 6

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

HANNAH STANIFER PA-C
Physician Assistant
3434 EDWARDS MILL RD STE 112-398
RALEIGH, NC 27612
Wake County (919) 878-1819
GRACE MCINTYRE AGNP
Nurse Practitioner (Adult Health)
3434 EDWARDS MILL RD STE 112-398
RALEIGH, NC 27612
Wake County (919) 878-1819
HILARY HOLMES WHITMAN FNP-BC
Nurse Practitioner (Family)
3434 EDWARDS MILL RD STE 112-398
RALEIGH, NC 27612
Wake County (919) 878-1819
CAPITAL ENDOCRINE CONSULTANTS, PA
Specialist
3434 EDWARDS MILL RD STE 112-398
RALEIGH, NC 27612
Wake County (919) 878-1819
ELISABETH MARIE BENEDICT NP
Nurse Practitioner (Adult Health)
3434 EDWARDS MILL RD STE 112-398
RALEIGH, NC 27612
Wake County (919) 878-1819
ADAM FRANKS
Physician Assistant (Medical)
3434 EDWARDS MILL RD STE 112-398
RALEIGH, NC 27612
Wake County (919) 878-1819

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 Traci Barbour's NPI number?

The NPI number for Traci Barbour is 1639677586. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Traci Barbour located?

Traci Barbour practices at 3434 Edwards Mill Rd Ste 112-398, Raleigh, NC 27612. The listed phone number is (919) 878-1819.

What is Traci Barbour's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Traci Barbour enrolled in Medicare?

Yes. Traci Barbour 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.

What insurance does Traci Barbour accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Traci Barbour 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 Traci Barbour affiliated with any hospitals?

According to CMS data, Traci Barbour is affiliated with Wakemed, Raleigh Campus, Rex Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Traci Barbour was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.