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Active NPI 1962014225 Individual Practitioner Female Practitioner

Dr. Tracy Gose , OD

Optometrist • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Gose, OD is a certified Optometrist practicing in Phoenix, AZ. With approximately 6 years of clinical experience since graduating from Pacific University - College Of Optometry in 2020, Dr. Gose delivers high-quality medical care to the local community at 2222 E CAMELBACK RD STE 250M.

Dr. Gose maintains professional affiliations with Emilio Martin Justo Md Pc, Mt. Baker Vision Clinc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2222 E Camelback Rd Ste 250m

Phoenix, AZ 850163427

Telephone 6028403501
Fax 6028403671
Associated Practice Facility / Clinic
🏢 Nationwide Vision Center, Llc Facility NPI 1578792305

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -12.8 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
255 Specialists

Practicing in Phoenix, AZ (1373 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gose (6 Years) 6 Yrs
Phoenix Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
53 33 $135.00 $87.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 27 $190.00 $123.81
92133 Imaging of optic nerve
29 24 $150.00 $34.86
92134 Imaging of retina
18 16 $150.00 $38.59
92250 Photography of the retina
15 15 $150.00 $35.70

Medical Specialties & State Licenses

CMS Verified: 2025-03-03
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ OPT-002510

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License PA OEG003716

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Emilio Martin Justo Md Pc

2222 E Camelback Rd, Phoenix, AZ 850163427

Phone: 6028403501

Mt. Baker Vision Clinc

720 Birchwood Ave, Bellingham, WA 982251714

Phone: 3607331720

Secondary Practice Locations

2450 E Guadalupe Rd Ste 107

Gilbert, AZ 852345116

Phone: 4805580600

19052 Nrh Johnson Blvd

Sun City, AZ 85375

Phone: 6232320560

1700 S Lincoln Ave

Lebanon, PA 170427529

Phone: 7172726621

10701 W Bell Rd

Sun City, AZ 853511074

Phone: 6238888191

500 W Savage St

Wickenburg, AZ 853904235

Phone: 9284152188

8404 E Shea Blvd Ste 105

Scottsdale, AZ 852606658

Phone: 4804830711

955 W Southern Ave Ste 122

Mesa, AZ 852104903

Phone: 4808354440

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1437532793

Doctor of Optometry

Dr. Alex Cohen , MD

Ophthalmology

NPI 1497953673

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated March 05, 2025

Recorded as TRACY GOSE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Optometrist (License #OEG003716 in PA)

📍
Updated Practice Location August 17, 2021

Registered at 2222 E CAMELBACK RD STE 250M, PHOENIX, AZ 850163427 (Tel: 6028403501)

📍
Updated Business Mailing Address August 17, 2021

Registered at 220 N MCKEMY AVE, CHANDLER, AZ 852262651 (Tel: 4809611865)

👤
Provider Name / Credentials Updated August 17, 2021

Recorded as TRACY LUKASIEWICZ, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2021

Optometrist (License #OPT-002510 in AZ)

NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2020

Registered at 1700 S LINCOLN AVE, LEBANON, PA 170427529 (Tel: 7172726621)

📍
Updated Business Mailing Address August 18, 2020

Registered at 1700 S LINCOLN AVE, LEBANON, PA 170427529 (Tel: 7172726621)

👤
Provider Name / Credentials Updated August 18, 2020

Recorded as TRACY LUKASIEWICZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Optometrist (License #OEG003716 in PA)

🟢
Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962014225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

220 N Mckemy Ave

Chandler, AZ 852262651

Phone: 4809611865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.