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TRACEY BASTIAANS DO
NPI 1952749582
Plastic Surgery in Moultrie, GA

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
4 LIVE OAK CT, MOULTRIE, GA 31768(229) 785-2400 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, Nov 20, 2024, Jul 28, 2023 and 2 more (5 updates tracked since 2021).

About Tracey Bastiaans Do NPPES

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

TRACEY BASTIAANS DO (NPI 1952749582) is an individual plastic surgery provider in Moultrie, Georgia, licensed in Pennsylvania (OT018067) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Colquitt Regional Medical Center, and is a graduate of Chicago College Of Osteopathy (2013).

NPPES Registry Identity

NPI1952749582
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameTRACEY BASTIAANSCredential: DO
Location Address4 LIVE OAK CTMoultrie, GA 31768-6783
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 785-2400 · Fax (229) 502-9793
Phone(229) 785-2400
Sole ProprietorYes
Medical School CMSChicago College Of OsteopathyGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateSeptember 4, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1952749582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in PA · OT018067
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4 LIVE OAK CT, Moultrie, GA 31768
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey Bastiaans Do 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 ID3577858208
PECOS Enrollment IDI20210802003090
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tracey Bastiaans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sterling Plastic Surgery LLC
Same address
Plastic and Reconstructive Surgery
4 LIVE OAK CT
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
NPI 1982273488 (229) 785-2400
Colquitt Regional Medical Center
3.9 mi
Rural Health
6 HOSPITAL PARK
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 74 clinicians in this Medicare group
NPI 1881758753 (229) 985-3320
Community Care Network Inc
736 mi
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
NPI 1457610487 (219) 365-7620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Colquitt Regional Medical Center

Acute Care Hospitals · Moultrie, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110105
Location3131 South Main StreetMoultrie, GA 31768 · Colquitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 13

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

PHYLLIS HUGHES NP
Nurse Practitioner (Family)
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 985-1080
DRESDEN MELTON SODERSTROM MD
Surgery
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400
MORGAN ELLISON RAMSEY PA
Physician Assistant
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400
MICHAEL J DAWSON JR. M.D.
Internal Medicine (Gastroenterology)
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400
COLQUITT REGIONAL RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400
COLQUITT REGIONAL GASTROENTEROLOGY, LLC
Internal Medicine (Gastroenterology)
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400
STEPHANIE DIERS NP
Nurse Practitioner (Family)
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400
W WINSTON WILFONG M.D.
Urology
4 LIVE OAK CT
MOULTRIE, GA 31768
Colquitt County (229) 785-2400

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 Bastiaans's NPI number?

The NPI number for Tracey Bastiaans is 1952749582. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Tracey Bastiaans located?

Tracey Bastiaans practices at 4 Live Oak Ct, Moultrie, GA 31768. The listed phone number is (229) 785-2400.

What is Tracey Bastiaans's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Tracey Bastiaans enrolled in Medicare?

Yes. Tracey Bastiaans 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.

Which organizations bill Medicare for Tracey Bastiaans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Bastiaans reassigns Medicare benefits to 3 organizations: Sterling Plastic Surgery LLC (Moultrie, GA), Colquitt Regional Medical Center (Moultrie, GA) and Community Care Network Inc (St John, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracey Bastiaans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Bastiaans accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and Ambetter from Meridian and 5 other insurers list Tracey Bastiaans 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.

Is Tracey Bastiaans affiliated with any hospitals?

According to CMS data, Tracey Bastiaans is affiliated with Colquitt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tracey Bastiaans was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.