Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306038492 Individual Practitioner Female Practitioner

Tracey Wall , PA-C

Physician Assistant • Craig, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tracey Wall, PA-C is a certified Physician Assistant practicing in Craig, CO. With approximately 19 years of clinical experience since completing medical education in 2007, Tracey Wall delivers high-quality medical care to the local community at 785 RUSSELL ST.

Tracey Wall is affiliated with Rocky Mountain Clinics Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

785 Russell St

Craig, CO 816252019

Telephone 9708262300
Associated Practice Facility / Clinic
🏢 The Memorial Hospital Facility NPI 1396139507

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Craig, CO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +5.2 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Craig, CO (3810 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (19 Years) 19 Yrs
Craig Specialty Average (13.8 Years) 13.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
156 16 $250.29 $105.19
80305 Testing for presence of drug, read by direct observation
79 11 $31.50 $12.35
99213 Established patient office or other outpatient visit, typically 15 minutes
20 11 $170.30 $61.65

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA-2454

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Rocky Mountain Clinics Llc

1120 E Elizabeth St, Fort Collins, CO 805244044

Phone: 9704939193

Practice Associates & Co-Workers

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

6 Associated Practitioners
Thomas Doty , PA

Physician Assistant

NPI 1144371055

Physician Assistant

Dr. Jon Ossen , DO

Family Medicine

NPI 1174537872

Doctor of Osteopathic Medicine (D.O.)

Dr. Jimmy Ellis , DO

Obstetrics & Gynecology

NPI 1609891795

Doctor of Osteopathic Medicine (D.O.)

Margaret Schoeberl , PA

Physician Assistant

NPI 1649673807

Physician Assistant

Cinde Porter , PA

Physician Assistant - Medical

NPI 1730171398

Physician Assistant

Dr. Kevin Borchard , MD

Orthopaedic Surgery

NPI 1760686539

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2017

Registered at 785 RUSSELL ST, CRAIG, CO 816252019 (Tel: 9708262300)

📍
Updated Business Mailing Address April 12, 2017

Registered at 785 RUSSELL ST, CRAIG, CO 816252019 (Tel: 9708262300)

👤
Provider Name / Credentials Updated April 12, 2017

Recorded as TRACEY WALL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Physician Assistant (License #PA-2454 in CO)

NPI Profile Active February 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2008

Registered at 600 RUSSELL ST, CRAIG, CO 816252018 (Tel: 9708243252)

📍
Updated Business Mailing Address February 28, 2008

Registered at 600 RUSSELL ST, CRAIG, CO 816252018 (Tel: 9708243252)

👤
Provider Name / Credentials Updated February 28, 2008

Recorded as TRACEY KETCHAM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2008

Physician Assistant (License #PA-2454 in CO)

🟢
Initial NPI Registration & Enumeration August 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tracey Wall. Be the first to share your experience!

Sign in to leave a review for Tracey Wall

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306038492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2007
Last Update: April 12, 2017
Sole Proprietor: No

Mailing Address

785 Russell St

Craig, CO 816252019

Phone: 9708262300

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.