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Deactivated NPI 1023090578 Deactivated / Inactive NPI Female Practitioner

Dr. Tracy K Lower , MD

Pediatrics • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tracy Lower has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 18, 2005
NPI Deactivation Date June 08, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Lower, MD was a registered Pediatrics practicing in Springfield, IL. Throughout an active medical career spanning 16 years, Dr. Lower provided care at the practice location at 301 N 8TH ST until profile deactivation on 2021-06-08.

Practice Location & Contact Primary Location

Practice Address

301 N 8th St

Springfield, IL 627011041

Telephone 2175458000
Fax 2177576654
Associated Practice Facility / Clinic
🏢 Pavilion Pharmacy Llc Facility NPI 1851362230

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
109 Specialists

Practicing in Springfield, IL (3277 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036081010

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 08, 2021

Record deactivated on June 08, 2021

NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2013

Registered at 301 N 8TH ST, SPRINGFIELD, IL 627011041 (Tel: 2175458000)

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Updated Business Mailing Address June 03, 2013

Registered at PO BOX 19676, SPRINGFIELD, IL 627949676 (Tel: 2175458000)

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Provider Name / Credentials Updated June 03, 2013

Recorded as TRACY LOWER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Pediatrics (License #036081010 in IL)

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Initial NPI Registration & Enumeration November 18, 2005

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: 1023090578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2005
Last Update: June 03, 2013
Deactivation Date: June 08, 2021

Mailing Address

Po Box 19676

Springfield, IL 627949676

Phone: 2175458000

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.