Tracy Marie Fairbanks, MD
Individual provider Active NPI Family Medicine Physician · Bozeman, MT
NPI 1134224512 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1134224512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9807 (MT)
- Practice address
- 935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915 - Phone
- (406) 414-5700
- Fax
- (406) 586-9671
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bozeman Health Deaconess Hospital
Practice addresses (Care Compare)
875 S Cottonwood Rd
Bozeman, MT 59718-4221
925 Highland Blvd
Suite 1220
Bozeman, MT 59715-6905
Phone (406) 414-3780
935 Highland Blvd
Suite 2200
Bozeman, MT 59715-6915
Phone (406) 414-5700
Hospital & facility affiliations
- Big Sky Home Health
- Bozeman Health Deaconess Hospital
- Livingston Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100127000085 | MT | Practitioner - Family Practice | 4486749876 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9807 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Family Medicine | Current |
Accepting new patients |
| Family Practice Associates PC | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients | |
| Belgrade Clinic PLLP | Family Medicine | Current | Accepting new patients |
| Bozeman Health Deaconess Hospital | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
931 Highland Blvd
Ste 3220
Bozeman, MT 59715
Phone (406) 414-5336
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
120 N 19th Ave
Ste A
Bozeman, MT 59718
Phone (406) 556-9740
935 Highland Blvd
Ste 2210
Bozeman, MT 59715
Phone (406) 414-3133
935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
Interoperability endpoints
- tfairbanks7290994@direct.sanfordhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9807 | MT | Yes |
Addresses
Primary practice location
935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036278 | Medicaid | MT | |
| 08174812 | Other | MT | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tfairbanks7290994@direct.sanfordhealth.org | Direct | Bozeman Health Deaconess Hospital |
Other providers in Bozeman, MT
- Laken Eylander
- George Faegre
- Nicole Marie Faessel
- Amanda Jane Fahlstrom
- James Franklin Fair III
- Kendra Fajardo
- Family Counseling Center of Mt
- Family Doctors Urgent Care LLC
- Family Practice Associates PC
- Scott Fandrich
All providers in Bozeman, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.