Tracy Davies, MD
Individual provider Active NPI Family Medicine Physician · Rapid City, SD
NPI 1205198744 · NPPES record last updated Feb 8, 2018
Key facts
- NPI
- 1205198744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9583 (SD)
- Practice address
- 640 Flormann St
Rapid City, SD 57701-4679 - Phone
- (605) 755-3300
- Fax
- (605) 755-3129
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Network Inc
Practice addresses (Care Compare)
1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595
Hospital & facility affiliations
- Monument Health Home Plus Home Health
- Monument Health Spearfish Hospital
- Monument Health Rapid City Hospital
- Monument Health Sturgis Hospital
- Monument Health Lead-Deadwood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- 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 |
|---|---|---|---|---|
| I20150828001972 | SD | Practitioner - Family Practice | 7012146319 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9583 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Family Medicine | Current |
Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Family Medicine | Current |
Accepting new patients |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Queen City Regional Medical Clinic | Past | Accepting new patients |
Locations
640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414
Interoperability endpoints
- tdavies.12566@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9583 | SD | Yes |
Addresses
Primary practice location
640 Flormann St
Rapid City, SD 57701-4679
Mailing address
353 Fairmont Blvd
Attn MSS
Rapid City, SD 57701-7350
Phone (605) 755-8107
Other practice location 1
640 Flormann St
Rapid City, SD 57701-4679
Phone (605) 755-3300
Other providers in Rapid City, SD
- Matthew Davalos
- David a Rempel, DDS P.C.
- Laura E Davies
- Sean Davies
- Susan Davies
- Ashley Davis
- Deena Durene Davis
- Jayme Lynne Davis
- Karen Kaylene Davis
- Melissa Watson Davis
All providers in Rapid City, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2018. 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.