Individual provider Active NPI

Tracy A. Haines, M.D.

  • Dermatology Physician
  • Castle Rock, CO
National Provider Identifier
1316129356
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
37147 Issued in CO
Practice address
4350 Limelight Ave Ste 205
Castle Rock, CO 80109-8034
Phone
(720) 686-7546
Fax
(720) 686-7544
NPI assigned
Dec 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 37147 CO Primary

Addresses

Primary practice location

4350 Limelight Ave Ste 205
Castle Rock, CO 80109-8034

Mailing address

4350 Limelight Ave Ste 205
Castle Rock, CO 80109-8034
Phone (720) 686-7546

Other identifiers 1

IdentifierTypeStateIssuer
013676OtherKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20080828000269 CO Practitioner - Dermatology 7113093196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Dermatology PLLCGroup PAC ID 4789942525, 12 clinicians

Practice addresses (Care Compare)

4350 Limelight Ave
Suite 205
Castle Rock, CO 80109-8034
Phone (720) 686-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions157
Skin biopsy48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37147COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Dermatology PLLC Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Accent Dermatology and Laser Institute, PLLC Dermatology CurrentSince Feb 1, 2019 Accepting new patients
Columbine Dermatology PC Past Accepting new patients

Locations

4440 Arapahoe Ave
Ste 200
Boulder, CO 80303
Phone (303) 652-9222

4350 Limelight Ave
Unit 205
Castle Rock, CO 80109
Phone (303) 799-7903

4350 Limelight Ave
Castle Rock, CO 80109
Phone (720) 455-3775

145 Inverness Dr E
Ste 250
Englewood, CO 80112
Phone (720) 686-7546

2720 Council Tree Ave
Ste 230
Fort Collins, CO 80525
Phone (303) 652-9222

400 Indiana St
Ste 390
Golden, CO 80401
Phone (303) 463-9600

350 Indiana St
Ste 500
Golden, CO 80401
Phone (303) 463-9600

9397 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 214-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1316129356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 LIMELIGHT AVE STE 205",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098034",
            "telephone_number": "720-686-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 LIMELIGHT AVE STE 205",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098034",
            "telephone_number": "720-686-7546",
            "fax_number": "720-686-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "TRACY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "37147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "013676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.