Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane Tracy, PA-C

Individual provider Physician Assistant · NPI 1689197113

Mr. Shane Tracy, PA-C is a Physician Assistant in Medford, Oregon. Qualified in 2017, 9 years ago. Practices with Southern Oregon Orthopedics Inc, a 65-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2780 E Barnett Rd Ste 200
Medford, OR 97504
Phone: (541) 779-6250
Fax: (541) 608-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA187850 (OR)

Record details

NPI number1689197113
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address2780 E Barnett Rd Ste 200, Medford, OR 97504-8674

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern Oregon Orthopedics Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Medford