MS. TRACY MARIE SMITH PA-C
NPI 1609109024
Physician Assistant - Medical in Philadelphia, PA

NPI Status: Active since September 16, 2009

Contact Information

4190 CITY AVE
SUITE 528
PHILADELPHIA, PA
ZIP 19131
Phone: (866) 453-8800
Fax: (844) 734-7689

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About TRACY SMITH

This page provides the complete NPI Profile along with additional information for Tracy Smith, a primary care provider established in Philadelphia, Pennsylvania with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1609109024 assigned on September 2009. The practitioner's primary taxonomy code is 363AM0700X with license number MA054091 (PA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1609109024
Provider Name
MS. TRACY MARIE SMITH PA-C
Other Name
TRACY MARIE LAZUR PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4190 CITY AVE SUITE 528 PHILADELPHIA, PA 19131
Location Phone
(866) 453-8800
Location Fax
(844) 734-7689
Mailing Address
260 CALLE CAMPESINO SAN CLEMENTE, CA 92672
Mailing Phone
(949) 366-1053
Mailing Fax
(844) 734-7689
Is Sole Proprietor?
No
Enumeration Date
09-16-2009
Last Update Date
09-14-2015
Code Navigator

A primary care provider (PCP) like Tracy Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA054091
License State
PA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA21436 (CA)

Medicare Participation & PECOS Enrollment Status

Tracy Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    7 DME suppliers used 19 Medicare Claims 36 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    4 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    5 DME suppliers used 23 Medicare Claims 23 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    4 DME suppliers used 13 Medicare Claims 2589 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg (HCPCS:J7614)

    1 DME suppliers used 11 Medicare Claims 1848 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 12 times for 12 patients

Catheterization for collection of specimen, single patient, all places of service

Catheterization is a procedure where a small, flexible tube is inserted into your body to collect a specimen for testing. This is done in a safe, sterile environment and is a common method for obtaining a sample. It's typically done in a hospital or clinic.

This service was performed 33 times for 19 patients

Established patient home visit, typically 1 hour

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

This service was performed 62 times for 41 patients

Established patient home visit, typically 40 minutes

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

This service was performed 173 times for 60 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 102 times for 61 patients

New patient home visit, typically 75 minutes

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

This service was performed 11 times for 11 patients

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge

This service involves a healthcare professional traveling to collect necessary lab samples from patients who are homebound or in a nursing home. The travel allowance is a partial charge for the trip made to facilitate this service. It ensures medical care accessibility for all, regardless of mobility.

This service was performed 122 times for 67 patients

Reviews for MS. TRACY MARIE SMITH PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609109024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609201804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 0 + 1 + 8 + 0 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1609109024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255332367 RICHARD A. PASCUCCI DO
Individual
Internal Medicine (Rheumatology)4190 CITY AVE SUITE 330
PHILADELPHIA, PA 19131
(215) 871-6337
1235193061DR. JOSEPH M. KACZMARCZYK D.O.
Individual
Obstetrics & Gynecology4190 CITY AVE STE 315
PHILADELPHIA, PA 19131
(215) 871-6380
1477588135CITY LINE PEDIATRICS
Organization
Pediatrics4190 CITY AVE SUITE 540
PHILADELPHIA, PA 19131
(215) 871-1800
1811922420DR. CARL R PULLEN D.O.
Individual
Pediatrics4190 CITY AVE SUITE 540
PHILADELPHIA, PA 19131
(215) 871-1800
1619996279DR. ROSEMARY VICKERS D.O.
Individual
Pediatrics4190 CITY AVE SUITE 540
PHILADELPHIA, PA 19131
(215) 871-1800
1538274881 MARGARET MARY WILKINS DO
Individual
Family Medicine4190 CITY AVE SUITE 100
PHILADELPHIA, PA 19131
(215) 871-6380
1518092329DR. BRUCE STEVEN ZAHN ED.D.
Individual
Psychologist (Clinical)4190 CITY AVE PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, RH226
PHILADELPHIA, PA 19131
(256) 468-0600
1023338258DR. ANDREW JOSEPH SZABO D.O.
Individual
Surgery4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6690
1316230220PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Organization
Psychologist (Clinical)4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6910
1376829226 DEBORAH ANN CHIUMENTO PHD
Individual
Psychologist (Clinical)4190 CITY AVE SUITE 100
PHILADELPHIA, PA 19131
(215) 871-6628
1023377751DR. STEPHEN CHARLES SIZER D.O.
Individual
Orthopaedic Surgery4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6693
1831127091 JEFFREY S FREEMAN D.O.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4190 CITY AVE SUITE 324
PHILADELPHIA, PA 19131
(215) 871-1916
1821338914 STEFANIE J HAYNES D.O.
Individual
Student in an Organized Health Care Education/Training Program4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6693
1265877013 SERGIO ELI PEREZ D.O.
Individual
Student in an Organized Health Care Education/Training Program4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6693
1427473354 SAMANTHA BRODKIN
Individual
Specialist4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6693
1326192337PHILADELPHIA HEALTH & EDUCATION CORP
Organization
Obstetrics & Gynecology (Reproductive Endocrinology)4190 CITY AVE ROWLAND HALL, SUITE 418
PHILADELPHIA, PA 19131
(215) 477-4960
1992766240MS. MARGUERITA TORRES NP-C
Individual
Nurse Practitioner (Adult Health)4190 CITY AVE
PHILADELPHIA, PA 19131
(267) 439-9697
1265403349 MICHAEL A BECKER D.O.
Individual
Family Medicine4190 CITY AVE
PHILADELPHIA, PA 19131
(215) 871-6380
1336140979 KATHERINE E. GALLUZZI DO
Individual
Family Medicine (Geriatric Medicine)4190 CITY AVE SUITE 315
PHILADELPHIA, PA 19131
(215) 871-6844
1356343388 PAT A. LANNUTTI DO
Individual
Internal Medicine4190 CITY AVE SUITE 315
PHILADELPHIA, PA 19131
(215) 871-6337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609109024, enumerated in the NPI registry as an "individual" on September 16, 2009

The provider is located at 4190 City Ave Suite 528 Philadelphia, Pa 19131 and the phone number is (866) 453-8800

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Catheterization for collection of specimen, single patient, all places of service, Established patient home visit, typically 1 hour, Established patient home visit, typically 40 minutes, Insertion of needle into vein for collection of blood sample, New patient home visit, typically 75 minutes and Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge.

This NPI record was last updated on September 16, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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