Individual provider Active NPI

Tracy Ann Epperson, MD

  • Psychiatry Physician
  • La Grande, OR
National Provider Identifier
1841498987
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD208949 Issued in OR
Practice address
506 4TH St
La Grande, OR 97850-1906
Phone
(541) 963-8421
Fax
(541) 962-2596
NPI assigned
Jul 10, 2007
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X E-12576 AR
Psychiatry Physician 2084P0800X MD208949 OR Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

506 4TH St
La Grande, OR 97850-1906

Mailing address

506 4TH St
La Grande, OR 97850-1906
Phone (541) 963-8421

Other names 1

  • Tracy Kaufman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220809001979 OR Practitioner - Psychiatry 0042645665 Reassigns benefits to 2 organizations
I20240202002065 CO Practitioner - Psychiatry 0042645665 Reassigns benefits to 1 organization
I20240422001048 NM Practitioner - Psychiatry 0042645665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interactionmatters, LLCGroup PAC ID 5193085421, 6 clinicians
Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians

Practice addresses (Care Compare)

102 Gold Ave SW
Suite 548
Albuquerque, NM 87102-3335
Phone (505) 660-8047

501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
78.73
Promoting interoperability
68
Improvement activities
40
Cost
51.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12576ARMDPsychiatry Physician
MD208949ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling Multi-Specialty CurrentSince Dec 23, 2023 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Grande Ronde Hospital, Inc. Multi-Specialty CurrentSince Aug 15, 2022 Accepting new patients
Interactionmatters, LLC Multi-Specialty CurrentSince Apr 9, 2024 Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

506 4th St
La Grande, OR 97850
Phone (541) 663-3138

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

Organizations & group practices 4

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1841498987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 4TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501906",
            "telephone_number": "541-963-8421",
            "fax_number": "541-962-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 4TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501906",
            "telephone_number": "541-963-8421",
            "fax_number": "541-962-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-12576",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD208949",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "KAUFMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.