DR. TRACY ALAN SCOTT DMD
NPI 1821064452
Dentist - Periodontics in Bainbridge Island, WA

Active since February 24, 2006Opted out of Medicare · through Oct 10, 2026
12400 KALLGREN RD NE, BAINBRIDGE ISLAND, WA 98110(760) 532-2127 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Tracy Alan Scott Dmd NPPES

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

DR. TRACY ALAN SCOTT DMD (NPI 1821064452) is an individual periodontics provider in Bainbridge Island, Washington, licensed in Washington (DE60372812) and active in the NPI registry since February 2006. He has opted out of Medicare through October 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821064452
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TRACY ALAN SCOTTCredential: DMD
Location Address12400 KALLGREN RD NEBainbridge Island, WA 98110
Mailing Address12400 Kallgren Rd NeBainbridge Island, WA 98110-3328 · (760) 532-2127
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMay 24, 2018
NPI 1821064452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in WA · DE60372812
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
12400 KALLGREN RD NE, Bainbridge Island, WA 98110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Tracy Alan Scott Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 10, 2020 through October 10, 2026.

Opt-Out Effective DateOctober 10, 2020
Opt-Out In Effect ThroughOctober 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98110 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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 Scott's NPI number?

The NPI number for Tracy Scott is 1821064452. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Tracy Scott located?

Tracy Scott practices at 12400 Kallgren Rd NE, Bainbridge Island, WA 98110. The listed phone number is (760) 532-2127.

What is Tracy Scott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Tracy Scott enrolled in Medicare?

No. Tracy Scott has opted out of Medicare through October 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tracy Scott accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Tracy Scott 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.

When was this NPI record last updated?

The NPPES record for Tracy Scott was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.