Active NPI
Sean Carroll Tracy, MD
- Orthopaedic Surgery Physician
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 45930-020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34989800 | Medicaid | WI |
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
Enrollment records 1
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
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
- Ascension SE Wisconsin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 73.65
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 45930-020 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Specialty Hospital, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients | |
| Orthopedic Surgeons of Wisconsin, S.C. | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Franklin, WI
- NPI 1275127375
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1295769321
-
- Durable Medical Equipment & Medical Supplies
- Muskego, WI
- NPI 1962238113
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- Special Hospital
- Franklin, WI
- NPI 1861635971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.