Individual provider Active NPI

Tracy Bialy Evans, M.D

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1548427875
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A96572 Issued in CA
Practice address
2100 Webster St
Suite 305
San Francisco, CA 94115-2373
Phone
(415) 202-1540
Fax
(415) 202-0189
NPI assigned
May 22, 2008
Last updated
Mar 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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 A96572 CA Primary

Addresses

Primary practice location

2100 Webster St
Suite 305
San Francisco, CA 94115-2373

Mailing address

2100 Webster St
Suite 305
San Francisco, CA 94115-2373
Phone (415) 202-1540

Other names 1

  • Tracy Bialy Bramlette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090803000454 CA Practitioner - DermatologyPractitioner - Other (Physician) 5890842090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Connecticut School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Dermatology IncGroup PAC ID 9335362094, 2 clinicians

Practice addresses (Care Compare)

2100 Webster St
Suite 305
San Francisco, CA 94115-2376
Phone (415) 202-1540

Merit-based Incentive Payment System (MIPS)

Final score
53.34 of 100Reported as individual
Quality
96.98
Promoting interoperability
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision134
Removal of tissue1-10
Removal of skin lesions1638
Removal of skin cancer296
Removal of nail tissue12
Skin biopsy425

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Dermatology, Inc. Dermatology CurrentSince Jan 29, 2014 Accepting new patients
California Skin Institute, a Medical Corporation Dermatology Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Marin General Hospital Past Accepting new patients
Precision Dermatology, Inc. Dermatology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Csi Medical Group Dermatology PastSince Jun 1, 2017 Accepting new patients

Locations

770 Tamalpais Dr
Ste 403
Corte Madera, CA 94925
Phone (415) 924-2055

2100 Webster St
Ste 305
San Francisco, CA 94115
Phone (415) 202-1540

7064 Corline Ct
Ste C
Sebastopol, CA 95472
Phone (707) 829-5778

1 Blackfield Dr
Ste 347
Tiburon, CA 94920

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1548427875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-202-1540",
            "fax_number": "415-202-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-202-1540",
            "fax_number": "415-202-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TRACY",
        "middle_name": "BIALY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A96572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BRAMLETTE",
            "middle_name": "BIALY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.