Individual provider Active NPI

Sean Carroll Tracy, MD

  • Orthopaedic Surgery Physician
  • Wauwatosa, WI
National Provider Identifier
1073600342
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
45930-020 Issued in WI
Practice address
2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1409
Phone
(414) 257-2525
Fax
(414) 257-1772
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 45930-020 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1409

Mailing address

2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1409
Phone (414) 257-2525

Other identifiers 1

IdentifierTypeStateIssuer
34989800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000507 WI Practitioner - Orthopedic Surgery 9436258563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 384-6700

201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 384-6700

3077 N Mayfair Rd
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

3111 W Rawson Ave
Suite 200
Franklin, WI 53132-8890
Phone (414) 384-6700

7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620

9252 N Green Bay Rd
Milwaukee, WI 53209-1104
Phone (414) 384-6700

Hospital & facility affiliations

  • Midwest Orthopedic Specialty Hospital Hospital, Franklin, WI, CCN 520205
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45930-020WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 1, 2021 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Orthopaedic Surgery CurrentSince Dec 1, 2023 Accepting new patients

Locations

17000 W Bluemound Rd
Ste L
Brookfield, WI 53005
Phone (262) 207-4680

3111 W Rawson Ave
Ste 235
Franklin, WI 53132
Phone (414) 325-4370

3111 W Rawson Ave
Ste 110
Franklin, WI 53132

3111 W Rawson Ave
Ste 205
Franklin, WI 53132

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200

Interoperability endpoints

  • Direct secure messaging: sean.tracy.1@32957.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1073600342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "SEAN",
        "middle_name": "CARROLL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "45930-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34989800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.