Tracy Michele Lundberg, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

48620 Issued in AZ

Practice address

2800 10TH Ave S Ste 2200
Minneapolis, MN 55407-1311

Phone

(612) 767-8370

Fax

(612) 767-8376

NPI assigned

Jun 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, WI2 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 2

Specialty

Pathology

Education

University of North Dakota School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Stevens Point Hospital and Clinics, Inc.Group PAC ID 1850358938, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
• Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
• Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
• Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091
• Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311

Merit-based Incentive Payment System (MIPS)

Final score

78.75 of 100Reported as group

Quality

75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230
  Medicare reassignment Care Compare group NPD
• Hospital Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Minneapolis, MN
  • NPI 1033173182
  Medicare reassignment NPD
• Aspirus Eagle River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment NPD
• Aspirus Stanley Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Stanley, WI
  • NPI 1053391730
  Medicare reassignment NPD
• Divine Savior Healthcare, Inc.

  • General Acute Care Hospital
  • Portage, WI
  • NPI 1124083894
  Medicare reassignment NPD
• The Howard Young Medical Center, Inc.

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352
  Medicare reassignment NPD
• Aspirus Eagle River Hospital, Inc.

  • Emergency Medicine Physician
  • Eagle River, WI
  • NPI 1699728915
  NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Merrill, WI
  • NPI 1407096266
  NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Acute Care Hospital
  • Rhinelander, WI
  • NPI 1356391247
  NPD

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

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc

  • Rural Health Clinic/Center
  • Rhinelander, WI
  • NPI 1598420218

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Plover, WI
  • NPI 1053080168

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Wittenberg, WI
  • NPI 1114696507

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1306515671

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Amherst, WI
  • NPI 1316616428

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Rhinelander, WI
  • NPI 1316616683

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Family Medicine Physician
  • Stevens Point, WI
  • NPI 1336818608

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Acute Care Hospital
  • Rhinelander, WI
  • NPI 1356391247
  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Practice Physician
  • Rhinelander, WI
  • NPI 1548628100

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Rural Health Clinic/Center
  • Tomahawk, WI
  • NPI 1558912469

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Iola, WI
  • NPI 1578232849

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1881915098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE S STE 2200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071311",
            "telephone_number": "612-767-8370",
            "fax_number": "612-767-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE S STE 2200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071311",
            "telephone_number": "612-767-8370",
            "fax_number": "612-767-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "TRACY",
        "middle_name": "MICHELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "63649",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "R72261",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "48620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA MEDICAL LICENSE",
            "identifier": "63649",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Becca Ebba Lundberg, CRNA
• Derrick Lundberg, LMT
• Erica Wade Lundberg, APRN
• Jordan Rhae Lundberg, DPT
• Mary Borgerding Lundberg, PT
• Hannah Lundblad
• Gary Thomas Lundborg, M.D.
• Erin Hade Lunde, MT-BC
• Lise A Lunde, NP
• Madisen Lundebrek, MA

• Anatomic Pathology & Clinical Pathology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.