Free National NPI Number Registry

Dr. Edward Tracy Sall

Home >Dr. Edward Tracy Sall

 

NPI Number Detailed Information

Provider Information:

Name: Dr. Edward Tracy Sall
Gender: M
Provider License Number If Given: 104553

NPI Information:

NPI: 1710961198
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/30/2005

Last Update Date: 8/24/2021

Reputation Report:

Provider Business Mailing Address:

Address: 5471 KEARNY VILLA RD STE 200
San Diego, CA 92123
Phone Number: 8668019440
Fax Number:

Provider Business Practice Location Address:

Address: 4000 MEDICAL CENTER DR. STE 404
Fayetteville, NY 13066
Phone Number: 3152349865
Fax Number:

Provider Taxonomy:

Primary: 1223X0400X
Secondary (if any): 207YX0602X
State: NY

Top Doctors in NY

 

About Dr. Edward Tracy Sall

Dr. Edward Tracy Sall (DR. EDWARD TRACY SALL ) is That Dentist Physician in Fayetteville, NY. The NPI Number for Dr. Edward Tracy Sall is 1710961198.
The current location address for Dr. Edward Tracy Sall is 4000 MEDICAL CENTER DR. STE 404 Fayetteville, NY 13066 and the contact number is 8668019440 and fax number is . The mailing address for Dr. Edward Tracy Sall is 5471 KEARNY VILLA RD STE 200 San Diego, CA 92123- 3152349865 (mailing address contact number - 8668019440).
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Edward Tracy Sall ?


Answer: The NPI Number for Dr. Edward Tracy Sall is 1710961198

Where is Dr. Edward Tracy Sall located?


Answer: Dr. Edward Tracy Sall is located at 4000 MEDICAL CENTER DR. STE 404 Fayetteville, NY 13066.

What is the specialty for Dr. Edward Tracy Sall ?


Answer: The Specialty of Dr. Edward Tracy Sall is That Dentist Physician.

Are there any online reviews for Dr. Edward Tracy Sall ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fayetteville, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Edward Tracy Sall

Number of HCPCS 39
Number of Medicare Beneficiaries 483
Number of Services 1966
Total Submitted Charge Amount 343284
Total Medicare Allowed Amount 156931.6
Total Medicare Payment Amount 118510.61
Total Medicare Standardized Payment Amount 119032.09
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 65
Number of Beneficiaries Age 65 to 74 251
Number of Beneficiaries Age 75 to 84 139
Number of Beneficiaries Age Greater 84 28
Number of Female Beneficiaries 287
Number of Male Beneficiaries 196
Number of Non-Hispanic White Beneficiaries 430
Number of Black or African American Beneficiaries 14
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 23
Number of Beneficiaries With Medicare & Medicaid Entitlement 45
Number of Beneficiaries With Medicare Only Entitlement 438
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.05
Percent (%) of Beneficiaries Identified With Asthma 0.13
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.23
Percent (%) of Beneficiaries Identified With Diabetes 0.24
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 0.969

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 19
Number of Standardized 30-Day Fills 19
Aggregate Cost Paid for All Claims 943.16
Number of Day's Supply for All Claims 464
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 18
Aggregate Cost Paid for Generic Drugs 746.61
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst *
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.5
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.8158333333

More Providers in fayetteville , ny

Dr. Paul Edward Gardner
Optometrist
NPI Number: 1427006972
Address: 6859 EAST GENESEE STREET EMPIRE VISION CENTERS Fayetteville, NY 13066 , Phone: 3152512206
Ellen E Powers
Family Nurse Practitioner
NPI Number: 1992756209
Address: 4110 MEDICAL CENTER DR Fayetteville, NY 13066 , Phone: 3156630100
Kathleen M Lynch
Foot Surgery Podiatrist
NPI Number: 1134179740
Address: 512 TOWNE DR Fayetteville, NY 13066 , Phone: 3156375500
Kara C. Kort
Surgery Physician
NPI Number: 1386696896
Address: 4117 MEDICAL CENTER DRIVE POD A Fayetteville, NY 13066 , Phone: 3157441557
North Medical Cardiovascular Group Pc
Cardiovascular Disease Physician
NPI Number: 1184676355
Address: 4507 MEDICAL CENTER DR Fayetteville, NY 13066 , Phone: 3156630500
Mr. Keith Paul Waldron
Physical Therapist
NPI Number: 1285686188
Address: 510 TOWNE DR Fayetteville, NY 13066 , Phone: 3156374747
Mr. George Barrett
Physical Therapist
NPI Number: 1215980339
Address: 6800 E GENESEE ST SUITE A Fayetteville, NY 13066 , Phone: 3154780380
Thomas Tyo Little
Pediatrics Physician
NPI Number: 1710932413
Address: 6851 EAST GENESEE STREET Fayetteville, NY 13066 , Phone: 3154464580
Cynthia G Battaglia
Pediatrics Physician
NPI Number: 1376598987
Address: 6851 EAST GENESEE STREET Fayetteville, NY 13066 , Phone: 3154464580
Dr. Sara Lou Farchione
Pediatrics Physician
NPI Number: 1285689893
Address: 6851 EAST GENESEE STREET Fayetteville, NY 13066 , Phone: 3154464580
Dr. Susan Mary Manson
Internal Medicine Physician
NPI Number: 1467407635
Address: 510 TOWNE DR Fayetteville, NY 13066 , Phone: 3156270448
Deanna Raymond Allen
Physician Assistant
NPI Number: 1407894520
Address: 100 CLINTON ST Fayetteville, NY 13066 , Phone: 3152185909
Mr. Robert George Wolfe III
Physical Therapist
NPI Number: 1760421325
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Mrs. Stacy Marie Davison
Clinical Social Worker
NPI Number: 1245270800
Address: 600 WALNUT ST Fayetteville, NY 13066 , Phone: 3152432475
Dr. Denis F Branson
Plastic Surgery Physician
NPI Number: 1902848047
Address: 7000 E GENESEE ST BUILDING E Fayetteville, NY 13066 , Phone: 3154468313
Jud Staller
Psychiatry Physician
NPI Number: 1245274398
Address: 7030 E GENESEE ST Fayetteville, NY 13066 , Phone: 3154461736
Paula Pons Physician Llc
Ambulatory Surgical Clinic/Center
NPI Number: 1033154364
Address: 4206 MEDICAL CENTER DR STE 203 Fayetteville, NY 13066 , Phone: 3153297770
Janet Lynne Murphy
Hand Physical Therapist
NPI Number: 1184660128
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Mary Lou Corcoran
Physical Therapist
NPI Number: 1750327763
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Larry Michael Gravante
Physical Therapist
NPI Number: 1801825377
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Mrs. Julie M Wallace
Physical Therapist
NPI Number: 1275562753
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Mary Oot
Family Nurse Practitioner
NPI Number: 1023048048
Address: 510 TOWNE DR Fayetteville, NY 13066 , Phone: 3156630500
St Joseph'S Hospital Health Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Number: 1184654212
Address: 4105 MEDICAL CENTER DR Fayetteville, NY 13066 , Phone: 3153297200
Cami K Riley
Internal Medicine Physician
NPI Number: 1952334872
Address: 4212 MEDICAL CENTER DR SUITE 212 Fayetteville, NY 13066 , Phone: 3153297001
Melissa A Rothfeld
Physical Therapist
NPI Number: 1811929714
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Tracy Marie Miller
Physical Therapy Assistant
NPI Number: 1295767119
Address: 510 TOWNE DR SUITE 100 Fayetteville, NY 13066 , Phone: 3156374747
Deann Lynn Cummings
Family Medicine Physician
NPI Number: 1154356996
Address: 4104 MEDICAL CENTER DR SUITE 104 Fayetteville, NY 13066 , Phone: 3156630059
Callahan, Flanagan & Smith Orthodontics
Orthodontics and Dentofacial Orthopedic Dentist
NPI Number: 1437183647
Address: 300 S MANLIUS ST Fayetteville, NY 13066 , Phone: 3156372674
Matthew Stephen Shute
Physician Assistant
NPI Number: 1639198526
Address: 4000 MEDICAL CENTER DRIVE SUITE 104 Fayetteville, NY 13066 , Phone: 3156630059
Denise Wolken
Pediatrics Physician
NPI Number: 1356361646
Address: 6851 E GENESEE ST Fayetteville, NY 13066 , Phone: 3159914180
Dr. Michael F Cadin
General Practice Dentistry
NPI Number: 1770503815
Address: 7104 E GENESEE ST Fayetteville, NY 13066 , Phone: 3156370724
Dr. Gurcharan Bahia
Anesthesiology Physician
NPI Number: 1104846047
Address: 21 ELY DR Fayetteville, NY 13066 , Phone: 3154458746
Cvs Albany Llc
Durable Medical Equipment & Medical Supplies
NPI Number: 1770505323
Address: 340 TOWNE DR Fayetteville, NY 13066 , Phone: 3156372876
Larry Ira Novak
Family Medicine Physician
NPI Number: 1750303913
Address: 4104 MEDICAL CENTER DR SUITE 104 Fayetteville, NY 13066 , Phone: 3156630059
Matthew Lee Picone
Family Medicine Physician
NPI Number: 1346262508
Address: 4000 MEDICAL CENTER DR SUITE 104 Fayetteville, NY 13066 , Phone: 3156630059
Sandra Marie Sulik
Obstetrics & Gynecology Physician
NPI Number: 1861414021
Address: 4000 MEDICAL CENTER DR SUITE 104 Fayetteville, NY 13066 , Phone: 3156630059
James Burke Tucker
Family Medicine Physician
NPI Number: 1922020197
Address: 4104 MEDICAL CENTER DR SUITE 104 Fayetteville, NY 13066 , Phone: 3156630059
Mr. Alan Ariel Andrews
Clinical Social Worker
NPI Number: 1386667012
Address: 7000 E GENESEE ST Fayetteville, NY 13066 , Phone: 3154464122
Dr. Mary Elizabeth Jeannotte
Psychologist
NPI Number: 1265455620
Address: 7030 E GENESEE ST Fayetteville, NY 13066 , Phone: 3156820871
Dr. Douglas Walsh
Dermatology Physician
NPI Number: 1306860119
Address: 4110 MEDICAL CENTER DRIVE DERMATOLOGY ASSOCIATES Fayetteville, NY 13066 , Phone: 7062676239
Dr. Paul Michael Cohen
Psychologist
NPI Number: 1134143951
Address: 523 E GENESEE ST Fayetteville, NY 13066 , Phone: 3153821986
Ms. Nuala Wheat Andrews
Marriage & Family Therapist
NPI Number: 1073527644
Address: 7000 E GENESEE ST Fayetteville, NY 13066 , Phone: 3154464122
Va Medical Center
General Acute Care Hospital
NPI Number: 1386659282
Address: 211 CHURCHILL LN Fayetteville, NY 13066 , Phone: 3156373841
Dr. Sandra L. Smith
School Psychologist
NPI Number: 1447266531
Address: 7000 E GENESEE ST BLDG.C Fayetteville, NY 13066 , Phone: 3154490851
Dr. Maryann Elizabeth Millar
Gynecology Physician
NPI Number: 1417964990
Address: 4117 MEDICAL CENTER DR POD A Fayetteville, NY 13066 , Phone: 3153294968
Linda M Goff
Family Nurse Practitioner
NPI Number: 1841206356
Address: 4103 MEDICAL CENTER DR Fayetteville, NY 13066 , Phone: 3156377800
Dr. Michael A Giordano
Chiropractor
NPI Number: 1538176714
Address: 6858 E GENESEE ST Fayetteville, NY 13066 , Phone: 3154468899
Dr. James Gregory Monaco
Prosthodontist
NPI Number: 1619985777
Address: 7171 E GENESEE ST Fayetteville, NY 13066 , Phone: 3156378294
Dr. David Barry Greenberg
Clinical Psychologist
NPI Number: 1184634529
Address: 100 WOODBERRY LN Fayetteville, NY 13066 , Phone: 3154455554
St. Joseph'S Imaging
Adult Health Nurse Practitioner
NPI Number: 1457361529
Address: 4109 MEDICAL CENTER DR Fayetteville, NY 13066 , Phone: 3153297555

Dr. edward Tracy sall in Other Directories

Provider don't have other directory link yet.