TRACY MUDONDO MD
NPI 1689422438
Family Medicine in Des Moines, IA

Q: What is Tracy Mudondo's NPI number?

The NPI number for Tracy Mudondo is 1689422438. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Q: What is Tracy Mudondo'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 Mudondo was last updated on June 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 07, 2024PECOS Enrolled

840 E UNIVERSITY AVE, DES MOINES, IA 50316(515) 265-4255(515) 309-5993 Get Directions Write a Review

NPPES record last updated: June 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2024, May 7, 2024 (2 updates tracked since 2024).

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About Tracy Mudondo Md NPPES

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

TRACY MUDONDO MD (NPI 1689422438) is an individual family medicine provider in Des Moines, Iowa, licensed in Iowa (R-13196) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689422438

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTRACY MUDONDOCredential: MD

Location Address840 E UNIVERSITY AVEDes Moines, IA 50316-2304

Mailing Address840 E University AveDes Moines, IA 50316-2304 · (515) 265-4255 · Fax (515) 309-5993

Phone(515) 265-4255

Fax(515) 309-5993

Sole ProprietorNo

Enumeration DateMay 7, 2024

Last NPPES UpdateJune 16, 20242 updates tracked since enumeration

NPPES CertifiedJune 16, 2024

✔ NPI 1689422438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R-13196

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.

840 E UNIVERSITY AVE, Des Moines, IA 50316

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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 (PECOS)

Tracy Mudondo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50316 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 20

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

HUNTER PFLUGHAUPT MD

Family Medicine