Active NPI 1710403746 Individual Practitioner Male Practitioner

Brandon S Tracy , FNP-C

Nurse Practitioner • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Brandon Tracy, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Rexburg, ID. Practice services are available at 1049 SUMMERS DR under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1049 Summers Dr

Rexburg, ID 834405335

Telephone 2083594841

Fax 2083594842

Associated Practice Facility / Clinic

🏢 Alpine Dermatology Clinic P.c. Facility NPI 1588802391

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rexburg, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.5 Yrs

State Avg: 9.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Rexburg, ID (602 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	660	124	$7.86	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	238	181	$92.70	$71.19
17000 Destruction of skin growth	167	147	$67.50	$46.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$114.04	$86.91
11102 Tangential biopsy of single skin lesion	72	64	$104.23	$77.30
17110 Destruction of up to 14 skin growths	39	37	$109.56	$87.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	14	$241.10	$94.96
11103 Biopsy of related skin growth, each additional growth	17	13	$49.42	$39.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$56.48	$44.02
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	11	$457.54	$333.47
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$70.84	$57.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	922	125	$6.87	$5.09
99213 Established patient office or other outpatient visit, typically 15 minutes	215	151	$88.74	$71.88
17000 Destruction of skin growth	182	146	$61.64	$43.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$108.19	$88.58
11102 Tangential biopsy of single skin lesion	84	78	$97.82	$73.82
17110 Destruction of up to 14 skin growths	58	54	$104.79	$87.59
17004 Destruction of precancer skin growth, 15 or more growths	56	49	$153.19	$129.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$54.34	$44.27
11103 Biopsy of related skin growth, each additional growth	27	20	$132.21	$41.16
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$242.85	$96.98
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$427.64	$340.88
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$70.89	$57.31

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	13	12	$103.36	$87.17
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$79.25	$59.83
17000 Destruction of skin growth	13	12	$61.17	$37.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	348	60	$14.00	$4.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$205.00	$89.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	108	$206.00	$88.10
11100 Biopsy of single growth of skin and/or tissue	101	98	$205.00	$81.56
17000 Destruction of skin growth	89	78	$155.00	$40.71
99213 Established patient office or other outpatient visit, typically 15 minutes	82	71	$137.00	$59.78
11101 Biopsy of each additional growth of skin and/or tissue	45	34	$67.00	$27.15
17110 Destruction of up to 14 skin growths	32	28	$216.00	$92.84
17004 Destruction of precancer skin growth, 15 or more growths	18	18	$349.00	$120.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$603.00	$251.17

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID 60637

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License ID CNP60637

Definition to come...

Secondary Practice Locations

150 S Main St Ste 1

Driggs, ID 834225022

Phone: 2083594841

Practice Associates & Co-Workers

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

2 Associated Practitioners

David Batt , PA

Physician Assistant

NPI 1518212265

Physician Assistant

Dr. Daniel Marshall , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1861583486

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location August 12, 2019

Registered at 1049 SUMMERS DR, REXBURG, ID 834405335 (Tel: 2083594841)

📍

Updated Business Mailing Address August 12, 2019

Registered at 1049 SUMMERS DR, REXBURG, ID 834405335 (Tel: 2083594841)

👤

Provider Name / Credentials Updated August 12, 2019

Recorded as BRANDON TRACY, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2019

Nurse Practitioner (License #CNP60637 in ID)

✅

NPI Profile Active August 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 22, 2017

Registered at 1813 W HARVARD AVE STE 310, ROSEBURG, OR 974712756 (Tel: 5416727546)

📍

Updated Business Mailing Address August 22, 2017

Registered at 1813 W HARVARD AVE STE 310, ROSEBURG, OR 974712756 (Tel: 5416727546)

👤

Provider Name / Credentials Updated August 22, 2017

Recorded as BRANDON TRACY, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2017

Nurse Practitioner (License #201706712NP-PP in OR)

🟢

Initial NPI Registration & Enumeration August 22, 2017

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: 1710403746

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 22, 2017

Last Update: October 11, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1049 Summers Dr

Rexburg, ID 834405335

Phone: 2083594841

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.