DR. TRACY LEE BROCKMAN M.D.
NPI 1871553636
Family Medicine in Modesto, CA

Q: What is Tracy Brockman's NPI number?

The NPI number for Tracy Brockman is 1871553636. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Tracy Brockman'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 Brockman was last updated on March 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2006PECOS Enrolled

1320 CELESTE DR, MODESTO, CA 95355(209) 527-6900(209) 524-7328 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Tracy Lee Brockman M.d. NPPES

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

DR. TRACY LEE BROCKMAN M.D. (NPI 1871553636) is an individual family medicine provider in Modesto, California, licensed in California (A87080) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2002).

NPPES Registry Identity

NPI1871553636

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRACY LEE BROCKMANCredential: M.D.

Location Address1320 CELESTE DRModesto, CA 95355-2402

Mailing Address1320 Celeste DrModesto, CA 95355-2402 · (209) 527-6900 · Fax (209) 524-7328

Phone(209) 527-6900

Fax(209) 524-7328

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2002

Enumeration DateMarch 24, 2006

Last NPPES UpdateMarch 11, 2016

✔ NPI 1871553636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A87080

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.

1320 CELESTE DR, Modesto, CA 95355

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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)

Dr. Tracy Lee Brockman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436207198

PECOS Enrollment IDI20110209000767

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers19 claims19 services$33.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

NANDEESH VEERAPPA MD INC

Clinic/Center (Health Service)