TRACY R PREMATTA MD
NPI 1659494888
Allergy & Immunology in Havertown, PA

Q: What is Tracy Prematta's NPI number?

The NPI number for Tracy Prematta is 1659494888. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Tracy Prematta's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Prematta was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment

400 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083(610) 789-1313(610) 789-0655 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

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About Tracy R Prematta Md NPPES

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

TRACY R PREMATTA MD (NPI 1659494888) is an individual allergy & immunology provider in Havertown, Pennsylvania, licensed in Pennsylvania (MD434590) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1659494888

Entity TypeIndividualFemale

Primary Taxonomy207K00000X

Provider Legal NameTRACY R PREMATTACredential: MD

Location Address400 W TOWNSHIP LINE RDHavertown, PA 19083-5210

Mailing Address400 W Township Line RdHavertown, PA 19083-5210 · (610) 789-1313 · Fax (610) 789-0655

Phone(610) 789-1313

Fax(610) 789-0655

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2005

Enumeration DateApril 10, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1659494888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in PA · MD434590

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

400 W TOWNSHIP LINE RD, Havertown, PA 19083

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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 R Prematta 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 ID143395798

PECOS Enrollment IDI20080818000285

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 11

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

1,934 services46 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

736 services133 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

715 services42 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.

240 services136 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

189 services87 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.

98 services66 patients

Hospital Affiliations CMS Care Compare

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390222

Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

3 suppliers21 claims63 services$18.10 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier19 claims6,240 services$9.53 avg. paid by Medicare

Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg J1599

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers13 claims690 services$55.37 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

3 suppliers21 claims103 services$2.32 avg. paid by Medicare

Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052

Treatment-Chemotherapy · category RH012N

2 suppliers13 claims13 services$309.94 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 5

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

DR. THOMAS E KLEIN M.D

Allergy & Immunology