NPIMap

Individual provider Active NPI

Tracey A Schmucker, M.D.

  • Ophthalmology Physician
  • Searcy, AR
National Provider Identifier
1902805534
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E3864 Issued in AR
Practice address
105 Central Ave
Searcy, AR 72143-7329
Phone
(501) 268-7154
Fax
(501) 268-9071
NPI assigned
Jul 15, 2005
Last updated
May 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E3864 AR Primary

Addresses

Primary practice location

105 Central Ave
Searcy, AR 72143-7329

Mailing address

105 Central Ave
Searcy, AR 72143-7329
Phone (501) 268-7154

Other identifiers 11

IdentifierTypeStateIssuer
2335915OtherARUNITED HEALTHCARE
5M726OtherARBLUE CROSS INDIVIDUAL
04010020700OtherARQUALCHOICE
54723OtherARCOORDINATED VISION CARE
CJ3133OtherARRAILROAD MCARE GROUP
5B955OtherARBLUE CROSS PAY TO
621710274OtherARTAX ID
7616013OtherARCIGNA
P00081947OtherARRAILROAD MEDICARE
152290001MedicaidAR
7144524OtherARAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040110000151 AR Practitioner - Ophthalmology 5395645972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Central Ave
Searcy, AR 72143-7329
Phone (501) 268-7154

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery281
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3864ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey a Schmucker MD PA Ophthalmology CurrentSince Mar 13, 2008 Accepting new patients
Monica Verma MD, PA Ophthalmology PastSince Nov 1, 2020 Accepting new patients
Pleasant Valley Ophthalmology, PLLC Ophthalmology Past Accepting new patients

Locations

105 Central Ave
Searcy, AR 72143
Phone (501) 268-1532

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1902805534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437329",
            "telephone_number": "501-268-7154",
            "fax_number": "501-268-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437329",
            "telephone_number": "501-268-7154",
            "fax_number": "501-268-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUCKER",
        "first_name": "TRACEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E3864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2335915",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL",
            "identifier": "5M726",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "04010020700",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED VISION CARE",
            "identifier": "54723",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE GROUP",
            "identifier": "CJ3133",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PAY TO",
            "identifier": "5B955",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621710274",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7616013",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00081947",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152290001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7144524",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.