Active NPI
Mark S Tracy, DPM
- Podiatrist
- Port Charlotte, FL
National Provider Identifier
1962436030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO1878
- Practice address
- 3028 Caring Way
Ste 9
Port Charlotte, FL 33952-5300 - Phone
- (941) 627-6366
- Fax
- (941) 627-6677
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO1878 | FL | Primary |
Addresses
Primary practice location
3028 Caring Way
Ste 9
Port Charlotte, FL 33952-5300
Mailing address
3028 Caring Way
Ste 9
Port Charlotte, FL 33952-5300
Phone (941) 627-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100625000437 | FL | Practitioner - Podiatry | 9739183336 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Shamrock Blvd
Venice, FL 34293-1630
Phone (941) 493-8666
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 39 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 290 |
| Removal or shaving of skin growth | 90 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael T. McCormick & Associates PA | Podiatrist | Current | Accepting new patients |
| Michael T. McCormick & Associates PA | Podiatrist | Current | Accepting new patients |
| Caring Way Primary Care Clinic | Past | Accepting new patients |
Locations
17835 Murdock Cir
Unit B
Port Charlotte, FL 33948
115 Shamrock Blvd
Venice, FL 34293
Phone (941) 493-8666
Interoperability endpoints
- mtracy@usfas.emadirect.md
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Venice, FL
- NPI 1710104583
FL, Podiatrist
-
- Durable Medical Equipment & Medical Supplies
- Port Charlotte, FL
- NPI 1982418190
Podiatrist
-
- Family Medicine Physician
- Port Charlotte, FL
- NPI 1184330680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1962436030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 CARING WAY",
"address_2": "STE 9",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525300",
"telephone_number": "941-627-6366",
"fax_number": "941-627-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 CARING WAY",
"address_2": "STE 9",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525300",
"telephone_number": "941-627-6366",
"fax_number": "941-627-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO1878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.