Tracy Syddall, PA-C
NPI 1205070091 · Medical Physician Assistant · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tracy Syddall, PA-C is a Medical Physician Assistant provider in Salt Lake City, UT (NPI 1205070091).
Provider details
- NPI number
- 1205070091
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 7270173-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
212 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 127 | $79 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $57 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 27 | $13 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 16 | $96 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 15 | $66 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 31 | 21 |
| Atorvastatin Calcium | 21 | 17 |
| Prednisone | 20 | 18 |
| Levothyroxine Sodium | 16 | 12 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 13 | 13 |
| Cefdinir | 13 | 13 |
| Lisinopril | 13 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-24
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Frequently asked questions
- What is Tracy Syddall's NPI number?
- Tracy Syddall's National Provider Identifier (NPI) is 1205070091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Syddall's specialty?
- Tracy Syddall is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tracy Syddall located?
- Tracy Syddall's practice location on file with NPPES is 1525 W 2100 S, Salt Lake City, UT 84119-1401.
- What is Tracy Syddall's phone number?
- The practice phone number listed in the NPPES registry for Tracy Syddall is (801) 213-9700.
- Does Tracy Syddall accept Medicare?
- Tracy Syddall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tracy Syddall's NPI active?
- Yes — Tracy Syddall's NPI (1205070091) is active in the NPPES registry as of the last update on 2021-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.