Individual provider Active NPI

Tracy C Orton, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Holland, MI
National Provider Identifier
1437122744
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
5101017139 Issued in MI
Practice address
3100 N Wellness Dr
Holland, MI 49424-8122
Phone
(616) 994-2770
Fax
(616) 920-6533
NPI assigned
Feb 8, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 116144 MO
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 116144 MO
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 5101017139 MI Primary

Addresses

Primary practice location

3100 N Wellness Dr
Holland, MI 49424-8122

Mailing address

3100 N Wellness Dr
Holland, MI 49424-8122
Phone (616) 994-2770

Other practice location 1

5325 Faraon St
Plaza 3, Ste 160
Saint Joseph, MO 64506-3488
Phone (816) 671-4840

Other practice location 2

516 Linn St
Allegan, MI 49010-1525
Phone (616) 994-2770

Other practice location 3

5301 Faraon St Ste 160
Saint Joseph, MO 64506-3829
Phone (816) 671-4840

Other identifiers 3

IdentifierTypeStateIssuer
D16150188OtherMIMEDICARE PROVIDER NUMBER
701000217OtherMOMO MEDICARE
1437122744MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070816000601 MI Practitioner - Otolaryngology 2668415779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

3100 N Wellness Dr
Holland, MI 49424-8122
Phone (616) 994-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.22
Promoting interoperability
100
Improvement activities
40
Cost
71.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116144MOMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear, Nose, Throat, and Allergy Specialists, PC Allergy CurrentSince Aug 3, 2020 Accepting new patients
West Michigan Surgical Center, LLC Past Accepting new patients

Locations

516 Linn St
Allegan, MI 49010
Phone (269) 673-5200

6470 Cherry Meadow Dr SE
Caledonia, MI 49316

17168 Timber View Dr
Grand Haven, MI 49417
Phone (616) 414-3088

3501 Rivertown Point Ct SW
Grandville, MI 49418
Phone (616) 396-1433

3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433

Interoperability endpoints

  • Direct secure messaging: torton8686@epic00.corewelldirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1437122744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248122",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248122",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_2": "Plaza 3, Ste 160",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-671-4840",
            "fax_number": "816-671-4845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Linn St",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490101525",
            "country_code": "US",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 Faraon St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063829",
            "country_code": "US",
            "telephone_number": "816-671-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTON",
        "first_name": "TRACY",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "116144",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MO",
            "license": "116144",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "5101017139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "D16150188",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MEDICARE",
            "identifier": "701000217",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437122744",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.