Active NPI
Elisabeth Tracey, M.D.
- Dermatology Physician
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.140228
- Practice address
- 4350 Crocker Road
Ste.300
Westlake, OH 44145-6329 - Phone
- (440) 588-8005
- Fax
- (440) 835-4790
- NPI assigned
- May 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | 35.140228 | OH | Primary |
Addresses
Primary practice location
4350 Crocker Road
Ste.300
Westlake, OH 44145-6329
Mailing address
2000 Auburn Dr.
Ste.350
Beachwood, OH 44122-4327
Phone (440) 646-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0415378 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Dermatology
- Education
- Perelman School of Med at the University of Pennsylvania, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4350 Crocker Rd
Suite 300
Westlake, OH 44145-6329
Phone (440) 646-1600
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 78.38
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.23
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 88 |
| Removal of skin lesions | 1993 |
| Removal or shaving of skin growth | 489 |
| Skin biopsy | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Dermatology and Skin Surgery Center, LLC | Dermatology | Current | Accepting new patients |
| Gary R Kutsikovich MD and Associates Inc | Past | Accepting new patients | |
| SCH Professional Corporation | Past | Accepting new patients |
Locations
7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546
5800 Landerbrook Dr
Ste 100
Mayfield Hts, OH 44124
Phone (323) 800-2799
29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600
4350 Crocker Rd
Ste 300
Westlake, OH 44145
Phone (440) 588-8005
Interoperability endpoints
- etracey@apexskin.emadirect.md
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.
-
- Dermatology Physician
- Mayfield Heights, OH
- NPI 1689973638
-
- Neurology Physician
- Mentor, OH
- NPI 1841250420
-
- Family Medicine Physician
- Salem, OH
- NPI 1619959822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1134575269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 AUBURN DR.",
"address_2": "STE.350",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224327",
"telephone_number": "440-646-1600",
"fax_number": "440-646-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 CROCKER ROAD",
"address_2": "STE.300",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441456329",
"telephone_number": "440-588-8005",
"fax_number": "440-835-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACEY",
"first_name": "ELISABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-07",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.140228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415378",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.