Tracey Durkovich Clark, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2313 Issued in ME

Practice address

1 Ridgewood Drive
Bangor, ME 04401

Phone

(207) 945-6200

Fax

(207) 990-3015

NPI assigned

Jul 23, 2008

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tracey Erin Durkovich Former name

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Ophthalmology

Education

University of New England, College of Osteo Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care of Maine LLCGroup PAC ID 2365339744, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.92 of 100Reported as group

Quality

94.37

Improvement activities

40

Cost

86.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: tracey.durkovichclarkdo.p1@direct.visioncareofmaine.nextgenshare.com

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.

• Vision Care of Maine LLC

  • Ophthalmology Physician
  • Bangor, ME
  • NPI 1225137847
  Medicare reassignment Care Compare group NPD
• Timber H Gorman MD

  dba Downeast Eye MD

  • Medical Specialty Clinic/Center
  • Trenton, ME
  • NPI 1861681322
  Medicare reassignment NPD
• Vision Care of Maine-Aroostook LLC

  • Ophthalmology Physician
  • Presque Isle, ME
  • NPI 1588763189
  Medicare reassignment NPD
• Vision Care of Maine Aroostook, LLC

  • Multi-Specialty Clinic/Center
  • Houlton, ME
  • NPI 1265995674

  Ophthalmology

  NPD
• Vision Care of Maine LLC

  • Ambulatory Surgical Clinic/Center
  • Bangor, ME
  • NPI 1275629081
  NPD
• Retina & Uveitis Consultants of Maine

  • Retina Specialist (Ophthalmology) Physician
  • Bangor, ME
  • NPI 1487182580
  NPD (past)
• Vision Care of Maine, LLC Optometry Group

  • Optometrist
  • Bangor, ME
  • NPI 1649356700
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1437314127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-945-6200",
            "fax_number": "207-990-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIDGEWOOD DRIVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-945-6200",
            "fax_number": "207-990-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRACEY",
        "middle_name": "DURKOVICH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OT012459",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "DURKOVICH",
            "middle_name": "ERIN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Bangor
• Charles A Civiello Jr., O.D.
• Georgia Clark-Albert, MS RD LD CDE
• Kateryna Vadimovna Clark, M.S., R.D
• Peggy D Clark, SLP
• James Lincoln Clarke, M.D.
• Classic Dentures of Maine
• Nile Clem
• David M. Clement, M.D.
• Meredith I Clements, L..P.N.

• Ophthalmology Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Ophthalmology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.

Verify at the official NPI Registry.