DR. TRACI L IVEY MD
NPI 1831157858
Family Medicine in Bentonville, AR

Q: What is Traci Ivey's NPI number?

The NPI number for Traci Ivey is 1831157858. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Traci Ivey'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 Traci Ivey was last updated on April 18, 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 01, 2006PECOS Enrolled

2905 S WALTON BLVD, SUITE 17, BENTONVILLE, AR 72712(479) 657-6501(479) 657-6375 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Sep 22, 2016 (2 updates tracked since 2016).

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About Dr. Traci L Ivey Md NPPES

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

DR. TRACI L IVEY MD (NPI 1831157858) is an individual family medicine provider in Bentonville, Arkansas, licensed in Arkansas (R4023) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831157858

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRACI L IVEYCredential: MD

Location Address2905 S WALTON BLVD, SUITE 17Bentonville, AR 72712-6730

Mailing Address2104 S 54th St Ste 4Rogers, AR 72758-8194 · (479) 268-4504 · Fax (479) 222-0061

Phone(479) 657-6501

Fax(479) 657-6375

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateApril 18, 20242 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1831157858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · R4023

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.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License R4023 (AR)

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License R4023 (AR)

2905 S WALTON BLVD, Bentonville, AR 72712

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Other Identifiers 1

Medicaid117573001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Traci L Ivey 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 72712 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$15.91 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier26 claims26 services$82.32 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.80 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 2

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

TUCKER FAMILY MEDICINE OF ARKANSAS, INC

Family Medicine

2905 S WALTON BLVD, STE. 17
BENTONVILLE, AR 72712

Benton County (870) 405-8579

DR. TAMMY JEAN HALE TUCKER D.O.

Family Medicine

2905 S WALTON BLVD, STE 17
BENTONVILLE, AR 72712

Benton County (479) 657-6800

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 Ivey's NPI number?

The NPI number for Traci Ivey is 1831157858. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Traci Ivey located?

Traci Ivey practices at 2905 S Walton Blvd Suite 17, Bentonville, AR 72712. The listed phone number is (479) 657-6501.

What is Traci Ivey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Traci Ivey enrolled in Medicare?

Yes. Traci Ivey is registered in the Medicare PECOS enrollment system.

What insurance does Traci Ivey accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Traci Ivey 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 Traci Ivey was last updated on April 18, 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.