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Active NPI 1396776498 Individual Practitioner Female Practitioner

Tracee A Blackburn , PA-C

Dermatology • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Tracee Blackburn, PA-C is a registered healthcare professional specializing in Dermatology in Chicago, IL. Practice services are available at 1460 NORTH HALSTED STREET under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

1460 North Halsted Street
Suite 505

Chicago, IL 60642

Telephone 3122666462
Fax 3122666481
Associated Practice Facility / Clinic
🏢 Nilam K. Amin, D.o., S.c. Facility NPI 1023169570

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
242 Specialists

Practicing in Chicago, IL (673 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
15 12 $130.00 $73.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $220.00 $92.68

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 085-002507

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License IL 085-002507

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Caitrin Standring , PA-C

Physician Assistant

NPI 1083159487

Physician Assistant (Certified)

Olivia Warchol , PA-C

Physician Assistant

NPI 1568296119

Physician Assistant (Certified)

NPI 1619907995

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2016

Registered at 1460 NORTH HALSTED STREET, SUITE 505, CHICAGO, IL 60642 (Tel: 3122666462)

📍
Updated Business Mailing Address December 22, 2016

Registered at 1460 NORTH HALSTED STREET, SUITE 505, CHICAGO, IL 60642 (Tel: 3122666462)

👤
Provider Name / Credentials Updated December 22, 2016

Recorded as TRACEE BLACKBURN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Dermatology (License #085-002507 in IL)

🟢
Initial NPI Registration & Enumeration July 06, 2006

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: 1396776498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: December 22, 2016
Sole Proprietor: Yes

Mailing Address

1460 North Halsted Street, Suite 505

Chicago, IL 60642

Phone: 3122666462

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.