DR. SEBASTIAN J TROIA M.D.
NPI 1013097385
Ophthalmology in Omaha, NE

Q: What is Sebastian Troia's NPI number?

The NPI number for Sebastian Troia is 1013097385. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Sebastian Troia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sebastian Troia was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment

515 N 98TH ST, OMAHA, NE 68114(402) 399-9400(402) 399-8170 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sebastian J Troia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEBASTIAN J TROIA M.D. (NPI 1013097385) is an individual ophthalmology provider in Omaha, Nebraska, licensed in Nebraska (13695) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Boys Town National Research Hospital, and is a graduate of Creighton University School Of Medicine (1976).

NPPES Registry Identity

NPI1013097385

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SEBASTIAN J TROIACredential: M.D.

Location Address515 N 98TH STOmaha, NE 68114-2344

Mailing Address515 N 98th StOmaha, NE 68114-2344 · (402) 399-9400 · Fax (402) 399-8170

Phone(402) 399-9400

Fax(402) 399-8170

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1976

Enumeration DateOctober 17, 2006

Last NPPES UpdateFebruary 25, 2013

✔ NPI 1013097385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NE · 13695

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

515 N 98TH ST, Omaha, NE 68114

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Other Identifiers 1

Medicare ID-Type Unspecified095495NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sebastian J Troia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618034992

PECOS Enrollment IDI20090401000370

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boys Town National Research Hospital

Childrens · Boys Town, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number283300

Location14000 Boys Town Hospital RoadBoys Town, NE 68010 · Douglas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.C.

Specialist

515 N 98TH ST
OMAHA, NE 68114

Douglas County (402) 399-9400

DR. ANDREW NICHOLAS TROIA M.D.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)

515 N 98TH ST
OMAHA, NE 68114

Douglas County (402) 399-9400

SARAH BETH WIERDA M.D.

Ophthalmology

515 N 98TH ST
OMAHA, NE 68114

Douglas County (402) 399-9400

VISUAL EYES OPTICAL

Technician/Technologist (Optician)

515 N 98TH ST, STE 2
OMAHA, NE 68114

Douglas County (402) 955-2020

DR. ROBERT NICHOLAS TROIA M.D.

Ophthalmology

515 N 98TH ST
OMAHA, NE 68114

Douglas County (402) 399-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sebastian Troia's NPI number?

The NPI number for Sebastian Troia is 1013097385. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Sebastian Troia located?

Sebastian Troia practices at 515 N 98th St, Omaha, NE 68114. The listed phone number is (402) 399-9400.

What is Sebastian Troia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sebastian Troia enrolled in Medicare?

Yes. Sebastian Troia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sebastian Troia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Sebastian Troia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sebastian Troia affiliated with any hospitals?

According to CMS data, Sebastian Troia is affiliated with Boys Town National Research Hospital.

When was this NPI record last updated?

The NPPES record for Sebastian Troia was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.