Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952749582 Individual Practitioner Female Practitioner

Dr. Tracey Bastiaans , DO

Plastic Surgery • Moultrie, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tracey Bastiaans, DO is a certified Plastic Surgery practicing in Moultrie, GA. With approximately 13 years of clinical experience since graduating from Chicago College Of Osteopathy in 2013, Dr. Bastiaans delivers high-quality medical care to the local community at 4 LIVE OAK CT.

Dr. Bastiaans accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4 Live Oak Ct

Moultrie, GA 317686783

Telephone 2297852400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Chicago College Of Osteopathy

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Moultrie, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Moultrie, GA (190 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bastiaans (13 Years) 13 Yrs
Moultrie Specialty Average (13.0 Years) 13.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $328.00 $104.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $520.00 $156.21

Medical Specialties & State Licenses

CMS Verified: 2025-09-04
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA OT018067

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

14 Associated Practitioners
NPI 1083148084

Doctor of Medicine (M.D.)

Benjamin Klar

Physician Assistant - Surgical

NPI 1104699628
Morgan Ramsey , PA

Physician Assistant

NPI 1114505674

Physician Assistant

Dr. Michael Dawson , MD

Internal Medicine - Gastroenterology

NPI 1134153711

Doctor of Medicine (M.D.)

Dr. Franklin Davis , MD

Orthopaedic Surgery

NPI 1194179523

Doctor of Medicine (M.D.)

Meagan Mckinnon , PA-C

Physician Assistant - Medical

NPI 1285916437

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated September 04, 2025

Recorded as TRACEY BASTIAANS, DO

📍
Updated Business Mailing Address July 28, 2023

Registered at PO BOX 2876, MOULTRIE, GA 317762876 (Tel: 2298919131)

📍
Updated Practice Location September 01, 2021

Registered at 4 LIVE OAK CT, MOULTRIE, GA 317686783 (Tel: 2297852400)

📍
Updated Practice Location May 20, 2021

Registered at 4170 CITY AVE, PHILADELPHIA, PA 191311610 (Tel: 2158716100)

📍
Updated Business Mailing Address May 20, 2021

Registered at 212 BROWN ST APT 4E, PHILADELPHIA, PA 191232952

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Plastic Surgery (License #OT018067 in PA)

NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2013

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919 (Tel: 2488882516)

📍
Updated Business Mailing Address June 05, 2013

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919

👤
Provider Name / Credentials Updated June 05, 2013

Recorded as TRACEY BASTIAANS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

Surgery (License #5101020544 in MI)

🟢
Initial NPI Registration & Enumeration June 05, 2013

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: 1952749582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2013
Last Update: September 04, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 2876

Moultrie, GA 317762876

Phone: 2297852400

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.