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TRACY UPTON
NPI 1700271152
Internal Medicine in Visalia, CA

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
72.02/100
CMS Quality Rating
5211 W GOSHEN AVE STE 326, VISALIA, CA 93291(559) 624-2000 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2020, Aug 6, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Tracy Upton NPPES

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

TRACY UPTON (NPI 1700271152) is an individual internal medicine provider in Visalia, California, licensed in California (A156819) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700271152
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTRACY UPTON
Location Address5211 W GOSHEN AVE STE 326Visalia, CA 93291-8619
Mailing Address5211 W Goshen Ave Ste 326Visalia, CA 93291-8619
Phone(559) 624-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateMay 28, 20203 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
✔ NPI 1700271152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A156819
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5211 W GOSHEN AVE STE 326, Visalia, CA 93291
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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 Upton 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 ID5395169502
PECOS Enrollment IDI20200721003139
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

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.

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.
286 services263 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.76
Improvement Activities40
Cost46.72

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 Upton's NPI number?

The NPI number for Tracy Upton is 1700271152. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Tracy Upton located?

Tracy Upton practices at 5211 W Goshen Ave Ste 326, Visalia, CA 93291. The listed phone number is (559) 624-2000.

What is Tracy Upton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tracy Upton enrolled in Medicare?

Yes. Tracy Upton 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.

When was this NPI record last updated?

The NPPES record for Tracy Upton was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.