DR. TRACEY L. MERCER O.D. NPI 1831249374

Optometrist in Hoover, AL

NPI 1831249374 Individual Female Years of Experience 23 Optometrist PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About TRACEY MERCER

Tracey Mercer is a provider established in Hoover, Alabama and her medical specialization is optometrist with more than 23 years of experience. She graduated from University Of Alabama School Of Medicine in 1999. The NPI number of Tracey Mercer is 1831249374 and was assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X with license number S938TA511 (AL). The provider is registered as an individual and her NPI record was last updated 7 years ago.

Tracey Mercer is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Tracey Mercer is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Shelby Baptist Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1831249374

Provider NameDR. TRACEY L. MERCER O.D.
Provider Location Address2000 SOUTHLAKE PARK SUITE 100 HOOVER, AL 35244
Provider Mailing Address2000 SOUTHLAKE PARK SUITE 100 HOOVER, AL 35244
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-10-2007
Last Update Date11-13-2014


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.S938TA511
License StateAL
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

DR. TRACEY L. MERCER O.D.
2000 SOUTHLAKE PARK
SUITE 100
HOOVER, AL
ZIP 35244
Phone: (205) 968-1160
Fax: (205) 968-1159

Get Directions


Mailing Address

DR. TRACEY L. MERCER O.D.
2000 SOUTHLAKE PARK
SUITE 100
HOOVER, AL
ZIP 35244
Phone: (205) 968-1160
Fax: (205) 968-1159



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID345479796
PECOS Enrollment IDI20140204001427
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 36Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 15Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 13Diagnostic imaging of retina (HCPCS:92134)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 28
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tracey Mercer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SHELBY BAPTIST MEDICAL CENTER1000 FIRST STREET NORTH
ALABASTER, AL 35007
(205) 620-8100Acute Care Hospitals10016

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
U79010MEDICARE UPIN (02)AL
051504336MEDICARE ID-TYPE UNSPECIFIED (04)AL

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932427655DR. DAVID C. TODD, LLC
Organization
Chiropractor (Sports Physician)2000 SOUTHLAKE PARK SUITE 150
HOOVER, AL 35244
(205) 444-9484
1184036154NORTH SHELBY DENTAL STUDIO
Organization
Dentist (General Practice)2000 SOUTHLAKE PARK SUITE 250
HOOVER, AL 35244
(205) 278-3316
1528464799TRACEY L. MERCER, OD, PC
Organization
Optometrist2000 SOUTHLAKE PARK SUITE 100
HOOVER, AL 35244
(205) 968-1160
1780917005LTC DENTAL PC
Organization
Dentist (General Practice)2000 SOUTHLAKE PARK SUITE 250
HOOVER, AL 35244
(205) 278-3316
1629092002DR. DAVID WOOD COWAN D.M.D.
Individual
Dentist (General Practice)2000 SOUTHLAKE PARK SUITE 250
HOOVER, AL 35244
(205) 278-3316

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.