Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205865045 Individual Practitioner Female Practitioner

Dr. Tracy Tyson , MD

Pediatrics • Saint Albans, VT

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Tyson, MD is a registered healthcare professional specializing in Pediatrics in Saint Albans, VT. Practice services are available at 11 CREST RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11 Crest Rd

Saint Albans, VT 054789701

Telephone 8025278189
Fax 8025278187
Associated Practice Facility / Clinic
🏢 Mousetrap Pediatrics Pc Facility NPI 1336278092

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Albans, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Saint Albans, VT (186 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2023-06-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME96031

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.

Emergency Medicine - Pediatric Emergency Medicine

NUCC Taxonomy Code: 207PP0204X

State License FL ME96031

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
275570000 (FL)
Medicaid State Provider ID
202194472A (GA)
Commercial Insurance / Payer ID Bcbs
57012 (FL)

Secondary Practice Locations

44 Center St

Enosburg Falls, VT 054505795

Phone: 8025278189

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1023219607

Doctor of Medicine (M.D.)

NPI 1073641890

Doctor of Medicine (M.D.)

Dr. Frederick Holmes , MD

Pediatrics - Adolescent Medicine

NPI 1083759708

Doctor of Medicine (M.D.)

NPI 1104056514

Doctor of Medicine (M.D.)

Dr. Deanne Haag , MD

Pediatrics - Adolescent Medicine

NPI 1215065032

Doctor of Medicine (M.D.)

Dr. Heidi Zvolensky , MD

Pediatrics - Adolescent Medicine

NPI 1275661092

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 30, 2023

Registered at 11 CREST RD, SAINT ALBANS, VT 054789701 (Tel: 8025278189)

📍
Updated Business Mailing Address June 30, 2023

Registered at 600 BLAIR PARK RD STE 285, WILLISTON, VT 054957586 (Tel: 8022881140)

📍
Updated Practice Location December 29, 2021

Registered at 44 CENTER ST, ENOSBURG FALLS, VT 054505795 (Tel: 8025278189)

📍
Updated Business Mailing Address December 29, 2021

Registered at 66 KNIGHT LN STE 10, WILLISTON, VT 054959308 (Tel: 8028724329)

📍
Updated Business Mailing Address December 21, 2018

Registered at PO BOX 45443, SALT LAKE CITY, UT 841450443 (Tel: 9042021032)

NPI Profile Active November 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2015

Registered at 2140 SMITH ST, ORANGE PARK, FL 320735554 (Tel: 9042692140)

📍
Updated Business Mailing Address November 17, 2015

Registered at PO BOX 44004, JACKSONVILLE, FL 322314004 (Tel: 9042021032)

👤
Provider Name / Credentials Updated November 17, 2015

Recorded as TRACY TYSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2015

Emergency Medicine (License #ME96031 in FL)

🟢
Initial NPI Registration & Enumeration July 02, 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: 1205865045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2006
Last Update: June 30, 2023
Sole Proprietor: No

Mailing Address

600 Blair Park Rd Ste 285

Williston, VT 054957586

Phone: 8022881140

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.