Individual provider Active NPI

Tracey Anne Culbertson, MD

  • Plastic and Reconstructive Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1902808538
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D61303 Issued in MD
Practice address
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone
(240) 313-9580
Fax
(240) 313-9581
NPI assigned
Aug 12, 2005
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D61303 MD
Plastic and Reconstructive Surgery Physician 2086S0122X D61303 MD Primary

Addresses

Primary practice location

11116 Medical Campus Rd
Hagerstown, MD 21742

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (240) 313-9580

Other practice location 1

77 Thomas Johnson Dr Ste J
Frederick, MD 21702-4893
Phone (301) 694-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, AR3 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
I20040706000730 MD Practitioner - Plastic and Reconstructive Surgery 5092792259 Reassigns benefits to 1 organization
I20230309002937 DC Practitioner - Plastic and Reconstructive Surgery 5092792259 Reassigns benefits to 1 organization
I20250829001809 AR Practitioner - Plastic and Reconstructive Surgery 5092792259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Maryland School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Medical Services PLLCGroup PAC ID 3971661018, 15 clinicians

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite T40
Rogers, AR 72758-1474
Phone (479) 338-3550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue350
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vascular Medicine LLC Specialist CurrentSince Feb 27, 2023 Accepting new patients
Hill Medical Services, PLLC Specialist CurrentSince Jul 31, 2025 Accepting new patients
Center for Vascular Medicine NJ, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

27 E Appleby Rd
Fayetteville, AR 72703
Phone (479) 443-5575

4405 W Persimmon St
Fayetteville, AR 72704
Phone (479) 444-6108

1 Saint Vincent Cir
Little Rock, AR 72205
Phone (479) 878-2250

621 S Mock St
Prairie Grove, AR 72753
Phone (479) 422-7212

1101 S Promenade Blvd
Rogers, AR 72758
Phone (479) 268-3989

2708 S Rife Medical Ln
Ste T40
Rogers, AR 72758
Phone (479) 338-4000

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

1393 E Don Tyson Pkwy
Springdale, AR 72764
Phone (479) 751-2390

2455 N Lowell Rd
Springdale, AR 72764
Phone (479) 756-9000

802 S West End St
Springdale, AR 72764
Phone (479) 756-1600

108 Forbes St
Fl 2
Annapolis, MD 21401
Phone (301) 982-2000

7300 Hanover Dr
Ste 104
Greenbelt, MD 20770
Phone (301) 982-2000

7500 Greenway Center Dr
Ste 201
Greenbelt, MD 20770

8316 Arlington Blvd
Ste 515
Fairfax, VA 22031
Phone 3019822000999

Interoperability endpoints

  • Direct secure messaging: tracey.culbertson.p4@direct.cvm-usa.nextgenshare.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1902808538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710",
            "telephone_number": "240-313-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "240-313-9580",
            "fax_number": "240-313-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Thomas Johnson Dr Ste J",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024893",
            "country_code": "US",
            "telephone_number": "301-694-8999",
            "fax_number": "301-694-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "TRACEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D61303",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D61303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.