1. Home
  2. Directory
  3. Maryland
  4. Hagerstown
  5. Surgery
  6. NPI Profile

DR. TRACEY ANNE CULBERTSON MD
NPI 1902808538
Surgery - Plastic and Reconstructive Surgery in Hagerstown, MD

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
98.36/100
CMS Quality Rating
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742(240) 313-9580(240) 313-9581 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tracey Anne Culbertson Md NPPES

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

DR. TRACEY ANNE CULBERTSON MD (NPI 1902808538) is an individual plastic and reconstructive surgery provider in Hagerstown, Maryland, licensed in Maryland (D61303) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Frederick, and is a graduate of University Of Maryland School Of Medicine (1997).

NPPES Registry Identity

NPI1902808538
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. TRACEY ANNE CULBERTSONCredential: MD
Location Address11116 MEDICAL CAMPUS RDHagerstown, MD 21742
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710 · (240) 313-9580
Phone(240) 313-9580
Fax(240) 313-9581
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1997
Enumeration DateAugust 12, 2005
Last NPPES UpdateOctober 4, 2018
✔ NPI 1902808538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MD · D61303
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSpecialistTaxonomy 174400000X · License D61303 (MD)
11116 MEDICAL CAMPUS RD, Hagerstown, MD 21742
Open in Google Maps ↗

Secondary Practice Location 1

Location 177 Thomas Johnson Dr Ste JFrederick, MD 21702-4893 · Phone (301) 694-8999 · Fax (301) 694-8955

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Tracey Anne Culbertson Md 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 ID5092792259
PECOS Enrollment IDI20250829001809
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 7

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.
207 services59 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.
104 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
96 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
53 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

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.

98.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.73
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims880 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier37 claims3,520 services$0.36 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims394 services$19.63 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier35 claims784 services$7.08 avg. paid by Medicare
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6207
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims138 services$6.92 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier36 claims475 services$7.07 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 20

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

ALLEN L TWIGG LCPC
Counselor (Professional)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
MS. PATTI KAY COOPER LCSW-C
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
TARA BAKER
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 667-0041
RACHEL ANNE KNICLEY MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 491-2332
ERIKA SPINKS FNP
Nurse Practitioner
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
HELMSON B LOUISDOR DO
Student in an Organized Health Care Education/Training Program
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (240) 313-9554
MRS. JUDITH ANNE STAMBAUGH FNP-BC
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8804
ERIN STRASSER PA-C
Physician Assistant
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000

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 Tracey Culbertson's NPI number?

The NPI number for Tracey Culbertson is 1902808538. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Tracey Culbertson located?

Tracey Culbertson practices at 11116 Medical Campus Rd, Hagerstown, MD 21742. The listed phone number is (240) 313-9580.

What is Tracey Culbertson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Tracey Culbertson enrolled in Medicare?

Yes. Tracey Culbertson 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.

What insurance does Tracey Culbertson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Tracey Culbertson 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 Tracey Culbertson was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.